Background: Acoustic neuromas are a common sequela of neurofibromatosis type 2 and have been shown to grow at an increased rate during pregnancy.
Case: 21-year-old female, gravida 1 para 0, with history of neurofibromatosis type 2 presented for prenatal care following new onset seizures and progressive deafness. She was found to have bilateral slow-growing acoustic neuromas. Over the course of her pregnancy, her acoustic neuroma began growing and she became completely deaf. She underwent surgical decompression during her pregnancy and had a late preterm vaginal delivery due to preeclampsia with severe features. She subsequently had further operative and medical treatment of her neuromas.
Conclusion: Acoustic neuromas during pregnancy are exceedingly rare, but can be managed successfully with an interdisciplinary team approach tailored to the patients’ specific clinical presentation.
Acoustic neuroma, pregnancy, neurofibroma, neurofibromatosis type 2
The authors report no conflict of interest.
Copyright © 2019 the authors
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Akella SS, Mattson JN, Moreira NN. Vestibular Schwannoma growth during pregnancy: case report of neurofibromatosis type 2 in pregnancy. Proc Obstet Gynecol. 2019 Aug 29;9(1):Article 5 [9 p.]. https://doi.org/10.17077/2154-4751.1409. Free full text article.