前庭神经鞘瘤伴发垂体细胞瘤1例报告及文献复习

IF 0.4 Q4 CLINICAL NEUROLOGY

Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-03-24 DOI:10.1016/j.inat.2025.102017

Aaron Lerch , Anthony Minh Tien Chau , Kym M. Rae , Benjamin Sly , James Bowman , David Wong , Eloise House , Martin Wood , Damian Amato

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引用次数: 0

摘要

背景：前庭神经鞘瘤与其他颅内肿瘤，特别是垂体肿瘤同时发生是非常罕见的。我们的回顾只发现了48例文献记录的病例。此外，我们提出了一个独特的情况下，同步前庭神经鞘瘤和垂体细胞瘤，一个组合以前没有报道。病例报告一名51岁健康男性，表现为速发性感音神经性听力丧失和耳鸣。诊断影像显示为前庭神经鞘瘤和偶发垂体瘤，后来病理证实为垂体瘤。手术治疗包括采用经迷路和经蝶窦入路分阶段切除肿瘤。术后18个月，患者无症状，症状完全消失。结论据我们所知，这是首例前庭神经鞘瘤和垂体瘤同时发生的病例。我们强调多学科方法有助于良好的临床结果，强调在涉及多种颅内病理的复杂病例中协作管理的重要性。

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Concomitant Vestibular Schwannoma and Pituicytoma: A case report and review of the literature

Background

Vestibular schwannomas co-occurring with other intracranial tumours, particularly pituitary tumours, are exceptionally rare. Our review revealed only 48 cases documented in the literature. We additionally present a unique case of synchronous vestibular schwannoma and pituicytoma, a combination not previously reported.

Case report

A 51-year-old healthy male presented with rapid-onset sensorineural hearing loss and tinnitus. Diagnostic imaging revealed a vestibular schwannoma and incidental pituitary tumour, later confirmed histologically as a pituicytoma. Surgical management involved a staged resection utilising translabyrinthine and transsphenoidal approaches for tumour removal. At 18 months postoperatively, the patient remains asymptomatic, with complete resolution of his presenting symptoms.

Conclusions

To our knowledge, this is the first reported case of synchronous vestibular schwannoma and pituicytoma. We highlight the multidisciplinary approach that contributed to the favourable clinical outcome, underscoring the importance of collaborative management in complex cases involving multiple intracranial pathologies.

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