ORCID (Optional)


Document Type

Case Report


Higher Education | Internal Medicine | Medicine and Health Sciences | Neurology | Neurosurgery


Cerebellopontine angle meningiomas are slow-growing benign tumors of the brain with a largely indolent course until compressive and mass effects occur with adjacent neural structures. Clinical presentations are variable and dependent on the rate of growth and location and tend to progress over a longer period. Acute presentations are less common and require consideration of ubiquitous etiologies. A 62-year-old male with a history of hypertension, benign prostatic hyperplasia, dyslipidemia, and gout presented to the emergency department with a sudden onset of dizziness, loss of balance, and persistently elevated blood pressure. The examination was positive for left dysmetria, dysdiadochokinesia, and tandem gait positivity with the tendency to sway to the left. The patient was admitted with a major concern for acute cerebrovascular syndrome. Brain imaging revealed a large compressive cerebellopontine meningioma that was treated with craniotomy. Sudden onset neurological symptoms, including ataxia, include a broad workup for multiple etiologies, particularly cerebrovascular diseases. Given the growth patterns of meningiomas, acute symptoms tend to be rare; thus, evaluation with brain MRI with contrast is essential for its diagnosis, along with stratification for appropriate treatment options.




cerebellopontine angle tumor, meningioma, cerebrovascular accident, acute CVA, gait ataxia

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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