We followed a 36-year-old man with an atypical meningioma with somatic NF2 mutation and invasion into the bone, temporalis muscle, and pterygopalatine fossa, treated with surgical resection and adjuvant radiation therapy. His medical history included medulloblastoma treated with resection and adjuvant radiation therapy and a WHO Grade 1 meningioma treated with gross total resection....
Audiologists and ENT clinicians should be aware that Scarpa's ganglia enhancement on MRI can mimic bilateral vestibular schwannomas, particularly in patients with NF2 mutations, to avoid misdiagnosis.
This case highlights a rare but important imaging pitfall that could lead to incorrect diagnosis of bilateral vestibular schwannomas, with significant consequences for patient management.
- 01Physiologic MRI enhancement of Scarpa's ganglia can falsely resemble bilateral vestibular schwannomas.
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