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  • Title: Metastatic lung cancer in the cerebellopontine angles mimicking bilateral acoustic neuroma.
    Author: Hariharan S, Zhu J, Nadkarni MA, Donahue JE.
    Journal: J Clin Neurosci; 2005 Feb; 12(2):184-6. PubMed ID: 15749427.
    Abstract:
    Bilateral cerebellopontine angle (CPA) tumors identified on MRI are considered bilateral acoustic neuromas, the definitive diagnostic criterion of neurofibromatosis 2 (NF-2). We report the case of a 67-year-old man with progressive bilateral hearing loss, vertigo, and imbalance. MRI revealed bilateral enhancing CPA lesions, which were suggestive of acoustic neuromas and a diagnosis of NF-2. However, autopsy showed metastatic adenocarcinoma of the lung. Therefore, metastatic carcinoma to the CPA can mimic bilateral acoustic neuromas; imaging studies alone may be insufficient to diagnose NF-2.
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