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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 514-516

Bilateral hemorrhagic grade 5 disc edema in small vestibular schwannoma with communicating hydrocephalus: An unusual presentation

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
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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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