Translabyrinthine Excision of a Transmodiolar Intralabyrinthine Schwannoma Mimicking Meniere’s Disease: A Case Report
- Author:
Sunil GOYAL
1
;
Mahesh RAVUNNIKUTTY
;
Himanshu SWAMI
;
Sneha YADAV
Author Information
- Publication Type:Case Report
- From:Journal of Audiology & Otology 2024;28(2):153-157
- CountryRepublic of Korea
- Language:English
- Abstract: Intralabyrinthine schwannomas (ILSs) are rare tumors involving the otic capsule. Notably, they are often misdiagnosed because their symptoms mimic those of other, more common inner ear pathologies. Diagnosis requires high-resolution contrast-enhanced magnetic resonance imaging (MRI), which reveals filling defects (using a T2-weighted MRI sequence) or focal enhancement (using a T1-weighted MRI sequence with gadolinium enhancement) in the inner ear. A 52-year-old male patient with intractable vertigo or single-sided deafness should raise suspicion of this clinical entity as a differential diagnosis. Translabyrinthine excision of the tumor along with auditory rehabilitation using a cochlear implant can provide good outcomes with minimal morbidity in carefully selected cases. Here, we present an interesting case of a transmodiolar ILS mimicking Meniere’s disease, wherein surgery using the translabyrinthine approach and an extended cochleostomy yielded favorable outcomes.
