Schw Annoma

Abstract

Male patient aged 32, who came to present from right tinnitus approximately 4 months, 3 months ago presents frontal headache oppressive, sporadic type, intensity 7/10, attends medical prescriber treatment with analgesic, relieving pain. 2 months ago presented headache with the same characteristics, valuation and sent again with analgesics, with partial relief. After a month, he had a exacerbated headache, being continous, intensity 9/10, radiating to the occipital region and cervical region. 15 days ago, basic clinical picture is accompanied with episodes of right fleeting amaurosis, and 5 days ago headache becomes continuous, oppressive, holocraneana, 10/10 intensity associated with decrease in visual acuity right and nausea that do not reach the I vomited so go to Latacunga IESS. It is observed skull CT scan a mass right level of more than 3.5 cm, and hydrocephalus triventricular cerebellopontine angle. It is valued for neurosurgery and due to the presence of hydrocephalus, the implantation of a ventricular peritoneal shunt valve is performed. After 17 days he underwent surgery for resection of tumor mass. As a side effect of the surgery, the patient developed facial palsy, right hemiparesis and decreased visual acuity of right eye. After a month the second surgery, he presented pain ocular which is stinging, eye and loss of vision of right eye redness and is admitted with diagnosis of secondary endophthalmitis a corneal ulcer caused by lack of ocular occlusion produced as a consequence of brain tumor. Result of which the total patient lost vision in his right eye.