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Co-existing cholesteatoma and vestibular schwannoma

Published online by Cambridge University Press:  08 March 2006

Biodun Ogungbo ,
Damian Holliman ,
A. David Mendelow  and
John Hill
Biodun Ogungbo
Affiliation:
Department of Neurosurgery, Regional Neurosciences Directorate, Newcastle General Hospital, Newcastle-upon-Tyne, UK.
Damian Holliman
Affiliation:
Department of Neurosurgery, Regional Neurosciences Directorate, Newcastle General Hospital, Newcastle-upon-Tyne, UK.
A. David Mendelow
Affiliation:
Department of Neurosurgery, Regional Neurosciences Directorate, Newcastle General Hospital, Newcastle-upon-Tyne, UK.
John Hill
Affiliation:
Deparment of Orolaryngology, Freeman Hospital, Newcastle-upon-Tyne, UK.
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Abstract

A 69-year-old man presented with a cholesteatoma in the right mastoid process and a vestibular schwannoma at the left internal acoustic meatus. Cholesteatoma co-existing with a vestibular schwannoma has not been documented previously in the contemporary literature. The clinical dilemma in the managementof his progressive bilateral hearing loss is discussed.

He presented with dizziness and bilateral hearing loss worse on the right side. Pressure over the mastoid process elicited vertigo and nystagmus. He had no history of previous operation or infection in the ear canal. Audiograms confirmed high-tone hearing loss. Radiological investigations revealed a symptomatic cholesteatoma on the right side and an incidental vestibular schwannoma on the left. We have elected to manage bothlesions conservatively.

Bilateral cholesteatoma and bilateral vestibular schwannomas have been previously reported. Co-existing lesions, as in our patient have, however, not been reported previously. The management options of his hearing loss are discussed.

Keywords

CholesteatomaCongenitalHearing Loss, SensorineuralVestibular Schwannoma
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 6 , June 2002 , pp. 460 - 463
Copyright
© Royal Society of Medicine Press Limited 2002

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