Dr.Ravali Yenepalli

Dr.Archana Gunabalan

Abstract

INTRODUCTION:CPA IS A TRIANGULAR SPACE IN POSTERIOR CRANIAL FOSSA.TUMORS IN CPA PRESENT WITH SENSORINEURAL HEARING LOSS(SNHL) AND OCULAR MANIFESTATIONS. CASE DESCRIPTION: A 43-YEAR-OLD FEMALE PATIENT CAME WITH COMPLAINTS OF HEADACHE SINCE 1 YEAR, BLURRING OF VISION RIGHT EYE FOR 3 MONTHS AND DIMINISHED HEARING RIGHT EAR.VISION WAS COUNTING FINGERS AT 2 METRES WITH NO PINHOLE IMPROVEMENT IN THE RIGHT EYE.LEFT EYE 6/24 WITH PINHOLE 6/12.GRADE 1 RAPD IN RIGHT EYE. IOP WAS NORMAL.FUNDUS EXAMINATION REVEALED PAPILLEDEMA OF BOTH EYES.MACULAR HOLE WAS SEEN IN RIGHT EYE.MRI SHOWED CPA SPACE OCCUPYING LESION(SOL) WITH HYDROCEPHALUS.AUDIOMETRY REVEALED SNHL BOTH EARS.IN JANUARY,LEFT VENTRICULAR PERITONEAL SHUNT WAS DONE.LATER,RETROMASTOID SUBOCCIPITAL CRANIOTOMY AND EXCISION OF SOL WAS DONE.POSTOPERATIVELY,VISION IMPROVED TO 6/36P WITH PH 6/24 IN RIGHT EYE AND 6/12P WITH PH 6/9 IN LEFT EYE. DISCUSSION: ACCURATE DIAGNOSIS AND RAPID SURGICAL INTERVENTION AIDS IN BETTER VISUAL PROGNOSIS.