Sporadic pediatric vestibular schwannoma: a case report in a 4-year-old boy

Cheng Chieh Tsai, Chia Lang Fang, Minhua Liao, yi-shan yang, Kevin Li Chun Hsieh, Tai Tong Wong

Research output: Contribution to journalArticlepeer-review

Abstract

Sporadic vestibular schwannomas (VSs) are rare in children. When occurred in the pediatric population, they usually appear bilaterally and are related to neurofibromatosis type 2 (NF2). The current study reports a 4-year-old boy without family history of VS or NF2 who presented with a large (5.7-cm) VS involving the right cerebellopontine angle and internal auditory canal. Through seven-staged surgical interventions and two stereotactic γ‑knife radiosurgery, the disease was stabilized. At 2-year follow-up, the child had right ear hearing loss, grade IV facial palsy, and normal motor function and gait. No definite evidence of gene mutation regarding NF2 can be identified after sequence analysis and deletion/duplication testing. This case highlights the significance of considering the possibility of sporadic VSs, even in very young children. It emphasizes the importance of not overlooking initial symptoms, as they may indicate the presence of a large tumor and could potentially result in delayed diagnosis.

Original languageEnglish
Pages (from-to)2251-2255
Number of pages5
JournalChild's Nervous System
Volume40
Issue number7
DOIs
Publication statusPublished - Jul 2024

Keywords

  • Acoustic neuroma
  • Neurofibromatosis type 2
  • Neuroma
  • Pediatric
  • Pediatric neurosurgery
  • Sporadic
  • Vestibular schwannoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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