European Journal of Molecular & Clinical Medicine

Abstract

We report a case of 55 year old male who presented in ophthalmology outpatient
department with complaints of diminution of vision along with headache and giddiness
since 20-25 days from presentation. Patient was initially examined in ophthalmology
department , and his fundus showed bilateral papilledema. Patient intraocular pressure
was within normal limit. Optical coherence tomography(OCT) of patient suggested
increased retinal nerve fiber layer thickness.Patient was then send to neurosurgery for
second opinion , where he was advised CT scan and MRI with contrast of brain . Later ,
the scan confirmed the lesion in left cerebello pontine angle with dilated bilateral lateral
ventricles and third ventricle suggestive of secondary hydrocephalus. Patient had no
complaints of diplopia, it was not associated with facial palsy. Patient complaint of on and
off tinnitus.
Vestibular shwannoma is benign and slow growing tumor and ophthalmic manifestation
occur in later stage when diagnosis is missed early. Left suboccipital craniotomy and
subtotal excision of left vestibular schwannoma was performed and patient was followed
up.