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Case report identifies hemorrhagic transformation causing facial paralysis in a patient with past stereotactic radiation, implying the need for long-term MRI monitoring.
Hemorrhagic transformation of vestibular schwannoma following stereotactic radiation is a rare but serious complication. We report a case presenting with acute facial paralysis due to intratumoral hemorrhage 12 years after stereotactic radiosurgery. This case highlights hemorrhagic transformation as a potential cause of sudden neurological deterioration in previously irradiated vestibular schwannomas and underscores the importance of long-term MRI surveillance for early detection and timely intervention.
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Zonnour et al. (2026) studied this question.
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