title: Intratumoral hemorrhage after remote subtotal microsurgical resection and gamma knife radiosurgery for vestibular schwannoma.
abstract: Our report describes the occurrence of intratumoral hemorrhage in a vestibular schwannoma, which was treated with microsurgical resection thirteen years and gamma knife surgery (GKS) more than two years prior to the event. Although rare, it is apparent that bleeding into a vestibular schwannoma remains a possibility, even after the tumor has responded favorably to GKS. Long-term followup of patients with vestibular schwannoma who have been treated with GKS is advisable to assess treatment response and to detect adverse events (e.g. hemorrhage) suspected on clinical grounds.
authors.affiliation: Department of Neurosurgery, School of Medicine and Biomedical Sciences, Roswell Park Cancer Institute and State University of New York, Buffalo, New York, USA. iok2002@med.cornell.edu
authors.forename: I
authors.initials: I
authors.lastname: Karampelas
authors.forename: R A
authors.initials: RA
authors.lastname: Alberico
authors.forename: R J
authors.initials: RJ
authors.lastname: Plunkett
authors.forename: R A
authors.initials: RA
authors.lastname: Fenstermaker
mesh_terms: D002530:Cerebellopontine Angle / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis*; D005500:Follow-Up Studies; D006485:Hemosiderin / Q000378:metabolism; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D018365:Neoplasm, Residual / Q000175:diagnosis; D009464:Neuroma, Acoustic / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000175:diagnosis*; D016634:Radiosurgery
chemical_list: D006485:Hemosiderin