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Vestibular schwannoma and normal pressure hydrocephalus: An infrequent association as a cause of dementia
Schwannoma vestibular e hidrocefalia crónica del adulto: una asociación infrecuente como causa de demencia
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Gait abnormality with an increase in the support base was observed during the neurological examination. His spouse reported forgetting recent events and urinary incontinence for 2 months. The lab tests were normal and cranial CT was reported as normal pressure hydrocephalus. On suspicion of the onset of dementia, an MRI was requested for etiological purposes. Ventricular dilation was identified in axial FLAIR sequences (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) with hyperintense periventricular halo, convexity sulcal effacement, CSF islets (yellow arrow) and an isodense tumour of 2.5<span class="elsevierStyleHsp" style=""></span>cm maximum diameter at right cerebellopontine angle (CPA) without significant mass effect (red arrow). The tumour described in right CPA and ventricular dilation of temporal horns (white arrows) are visualized in T2 coronal planes (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Findings suggestive of vestibular schwannoma in CPA that determined communicating hydrocephalus, a very rare association.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">It has been suggested that the non-obstructive hydrocephalus secondary to small size schwannomas is caused by osmotic interference on arachnoid granulations responsible for the reabsorption of the CSF due to increased protein secretion to the CSF and recurrent bleeding from the tumour tissue.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-05-03" "fechaAceptado" => "2019-05-08" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Felices-Farias JM, Rey-Segovia P, Barqueros-Escuer F, Vázquez-Sáez V, Pérez-Ballesta A. Schwannoma vestibular e hidrocefalia crónica del adulto: una asociación infrecuente como causa de demencia. 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