The patient came to the clinic with long
history of headache and hearing loss for 2 years and progressive
weal left facial nerve and left abducens and blurring vision both
eyes with diplopea and swallowing difficulty for 3 years and ataxic
gait. The patient was embolized 6 months ago without result and she
progressed after that visual scatomas. On examination, beside
the above mentioned findings, she had atrophy of
the left side of the tongue with loss of taste
and sensation of the left side of the tongue.
She had hiccup and abnormal breathing pattern.
Several MRIs performed over the last 3 years,
showing the progression of the mass with total
involvement of the left transverse sinus with
the inferior petrosal vein and the IJV down to
the med cervical region. The mass was giant and
compressing the brain stem with mild secondary