Inpatient Rehabilitation of Cerebellopontine Angle Epidermoid Cysts: Report of 3 Cases

Neurosurg Q. 2014 Aug;24(3):197-202. doi: 10.1097/WNQ.0b013e3182a2fac7.

Abstract

Objective: Demonstrate the inpatient rehabilitation potential of cerebellopontine angle epidermoid cyst patients. Due to their location, symptoms may present with a complex combination of headache, cerebellar dysfunction, and cranial nerve deficits affecting functional status.

Methods: This report describes the cases of 3 patients with cerebellopontine angle epidermoid cysts who underwent neurosurgical resection followed by inpatient rehabilitation. All 3 patients experienced gait instability and cranial nerve deficits before surgery, and 2 of the patients had mild cognitive deficits. A customized rehabilitation program for these patients can address these deficits.

Results: Each patient showed demonstrable gains in function with inpatient rehabilitation and good outcomes at discharge.

Conclusion: When rehabilitating epidermoid cyst patients, the clinician must be aware of a higher likelihood of cranial neuropathies, need for increased psychosocial support, and the need for more vigilant long term medical monitoring to detect recurrence.

Keywords: Cerebellopontine Angle; Epidermoid Cyst; Rehabilitation.