Dr.Neha Bajpayee

Dr.Sachin Daigavane

Abstract

We report a case of 55 year old male who presented in ophthalmology out patient department with complaints of diminution of vision along with headache and giddiness since 20-25 days from presentation. Patient was initially examined in ophthalmology department , and his fundus showed bilateral papilledema. Optical coherence tomography(OCT) of patient suggested increased retinal nerve fiber layer thickness.Patient was then send to neurosurgery for second opinion , his CT scan and MRI with contrast of brain was done . Reports confirmed the lesion in left cerebello pontine angle with dilated bilateral lateral ventricles and third ventricle suggestive of secondary hydrocephalus.No diplopia was there and on and off tinnitus present.Vestibular shwannoma is benign and slow growing tumor and ophthalmic manifestation occur n later stage when diagnosis is missed early. Left suboccipital craniotomy and subtotal excision of left vestibular schwannoma was performed and patient was followed up.