Vascular malformation (so-called hemangioma) of Scarpa's ganglion

Vascular malformations of the cerebello-pontine angle (CPA) arising from the capillary plexus surrounding Scarpa's ganglion are rare tumors. We report a case of so-called "hemangioma" of the CPA which was operated on via a trans-labyrinthine approach based on a preoperative diagnosis of vestibular schwannoma. Although there are some differences between these tumors in terms of the clinical, biological and especially MRI findings, surgery is usually performed based on an assumption of vestibular schwannoma. Surgery is the treatment of choice for these lesions as early intervention ensures better postoperative facial function. It is important to make the differential diagnosis if conservative management of vestibular schwannoma is adopted.