en Clinical Neuroscience Clinical Neuroscience Case Report <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Tahoma;"><span style="font-size:14px;"><b><span lang="EN">Background</span></b><span lang="EN">: Neurofibromatosis Type 2 is an inherited autosomal dominant syndrome, characterized by multiple neoplasms of the central and peripheral nervous system associated with ocular abnormalities. The most common tumor associated with the disease is the vestibulocochlear schwannoma, and as many as 10% of patients with this tumor have neurofibromatosis type 2. In this report, we aim to present the case of a 15-year-old male whose chief complaints were unexplained falls, imbalance and decreased hearing. During his workup, which included cranial and whole spine magnetic resonance imaging he was found to have a Bilateral Vestibulocochlear schwannoma with multiple meningioma. Based on clinical and imaging findings, the diagnosis of neurofibromatosis type 2 was made. Our report also details the long-term follow-up of a vestibulocochlear schwannoma with growth patterns before and following treatment. </span><br> <b><span lang="EN">Case Description</span></b><span lang="EN">: A 15-year-old, energetic male teenager, athletic and a skilled musician was diagnosed as suffering from Neurofibromatosis 2, in September 2019. At presentation, he had bilateral vestibular schwannoma, right optic nerve sheath meningioma, small anterior falx meningioma, cervico-medullary and dorsal cord lesions (likely ependymomas) and multiple cauda equina lesions (likely nerve sheath tumors &ndash; schwannoma) revealed by imaging and treated by surgery over a period of 2 years. He was finally treated with stereotactic radiotherapy and at 1 year following treatment tumor showed shrinkage. He presented to our clinic for his biannual MRI of the brain with and without contrast.</span><br> <b><span lang="EN">Conclusion</span></b><span lang="EN">: This case represents the sporadic occurrence of vestibular schwannomas in a young patient. The age of the patient, the presence of multiple tumors and in addition to the typical vestibular schwannomas led to a diagnosis of neurofibromatosis type 2 (NF- 2). With no known family history, the use of cranial imaging studies in addition to clinical findings, played a key role in his diagnosis. The individualized treatment provided played a significant role in tumor size shrinkage. Follow-up cranial MRI studies were significant in tracing changes in the tumor morphology.</span></span></span></span><br> &nbsp;</div> Case report, Neurofibromatosis Type 2, Vestibular schwannoma, MRI 99 107 http://neuroupdates.de/browse.php?a_code=A-10-1-51&slc_lang=en&sid=1 Afrah Fathima Anis 1003194753284600307 0009-0001-8211-4559 No Doctor of Medicine, David Tvildiani Medical University, Tbilisi, Georgia Kevin Thomas Mathew kevin.thomasmathew_12@hotmail.com 1003194753284600308 0009-0009-8278-6994 Yes Doctor of Medicine, David Tvildiani Medical University, Tbilisi, Georgia Aysha Lamiya 1003194753284600309 1003194753284600309 No Doctor of Medicine, David Tvildiani Medical University, Tbilisi, Georgia Fatema Aliasger Rampurawala 1003194753284600310 1003194753284600310 No Doctor of Medicine, David Tvildiani Medical University, Tbilisi, Georgia Nadeeja Salam 1003194753284600311 0009-0004-2215-8359 No Department of Family Medicine, Diwan Health Complex, Salalah, Oman