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Inpatient Rehabilitation of Cerebellopontine Angle Epidermoid Cysts: Report of 3 Cases
Jack Brian Fu1, Megan Bale Nelson1, Eduardo Bruera1
1Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1414, Houston, Texas 77030, Phone (713) 792-6085, Fax (713) 792-6092.
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.
