Vestibular Schwannoma growth during pregnancy: case report of neurofibromatosis type 2 in pregnancy

Sraavya S. Akella, Roy J. & Lucille A. Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA
Jordan N. Mattson, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA
Nina N. Moreira MD, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA

Abstract

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.

 

URL

https://ir.uiowa.edu/pog_in_press/94