| CASE REPORT |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 514-516 |
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Bilateral hemorrhagic grade 5 disc edema in small vestibular schwannoma with communicating hydrocephalus: An unusual presentation
Manasa Penumetcha1, Nidhi Sinha1, Siddhartha S Sahoo2, Gundra N Rao1
1 Vision Care, Centre for Retina, Bhubaneswar, Odisha, India
2 Utkal Hospital, Bhubaneswar, Odisha, India
Correspondence Address:
Nidhi Sinha
M-1, Samanta Vihar, Near NALCO Chowk, Bhubaneswar, Odisha - 751 017
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1453_21
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Bilateral optic disc edema is usually a late manifestation of vestibular schwannoma. Raised intracranial pressure due to obstructive hydrocephalus or a large mass lesion are the known causes. We report a case of a 55-year-old female with decreased vision and bilateral hemorrhagic grade 5 papilledema. MRI revealed a small vestibular schwannoma (<2.5 cm) with mild communicating hydrocephalus. Intraoperative CSF pressure was high most likely due to raised protein level in CSF (1 g/L). Bilateral hemorrhagic grade 5 papilledema causing diminution of vision in a case of small vestibular schwannoma with communicating hydrocephalus prompted us to report this case.
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