Banaama Saeed, van Overbeeke Jacobus, Temel Yasin
Department of Neurosurgery, Maastricht University Medical Center, Debyelaan, The Netherlands.
Surg Neurol Int. 2016 Nov 21;7(Suppl 37):S869-S871. doi: 10.4103/2152-7806.194494. eCollection 2016.
Symptomatic intratumoral hemorrhage (ITH) in vestibular schwannoma (VS) is rare. A repeated hemorrhage is, therefore, even more exceptional. Repeated ITH has been reported in four cases thus far in English literature. Here, we describe a patient with a Koos grade D VS who presented to our Skull Base team with repeated ITH and an unexpected disease course.
A 76-year-old woman presented with hearing loss due to polycystic VS on the left side. Five years later, the patient was presented with facial palsy caused by hemorrhage in the VS. The patient had an eventful medical history that necessitated the use of anti-coagulants. The patient suffered from three subsequent hemorrhages preoperatively and one hemorrhage 36 h postoperatively.
We have experienced multiple repeated hemorrhages in a patient with a polycystic VS, and despite surgical intervention, the outcome was unfavorable.
前庭神经鞘瘤（VS）出现症状性瘤内出血（ITH）较为罕见。因此，反复出血更为罕见。迄今为止，英文文献中仅报道过4例反复ITH的病例。在此，我们描述一名库斯D级VS患者，该患者因反复ITH就诊于我们的颅底团队，其病程出人意料。
一名76岁女性因左侧多囊性VS出现听力丧失。五年后，患者因VS内出血导致面瘫。患者有复杂的病史，需要使用抗凝剂。患者术前发生了三次出血，术后36小时发生了一次出血。
我们遇到一名多囊性VS患者出现多次反复出血，尽管进行了手术干预，但结果仍不理想。
