MODIFIABLE FACTORS: NON-MODIFIABLE FACTORS:

Stress due to disease process Gender: Female

Home exposures to chemicals Genetic condition: Neurofibromatosis type 2 (NF2)
solvents, oil products or rubber Heredo-familial history of meningioma

Genetic aberrations

Mutation on the mitogen-activated

protein kinase (MAPK) pathway

Alterations on the proto-oncogene (BRAF)

Disruption in normal brain cell prolifiration

causing the development of oncogene

Tumorigenesis: unregulated cell growth

RESULT
Solid lesion within the right internal
Acquired cell mutations of Schwann cells leads to auditory canal, with
uncontrolled cell division in the cerebellopontine cerebellopontine angle extension
right-angle region of the brain measuring 1.4 x 2.2 x 1.2cm
DIAGNOSTIC TEST
MRI

RESULT
Formation of Schwannoma tumor
Right cerebellopontine
DIAGNOSTIC TEST angle cistern measuring
CT Scan 1.98 x 1.18 x 1.53cm
 NURSING DIAGNOSIS
Acute pain related to cerebral
ischemia secondary to
\ SIGNS AND SYMPTOMS cerebellopontine tumor
Proliferation of schwannoma tumor leads to mass that results
-Severe headache
in increase pressure in the surrounding area of the brain
-Aura (episodes of
blackout
MEDICATION
Impedes blood flow in the cerebellopontine right Paracetamol, Celecoxib
angle and occipital lobe of the brain
SIGNS AND SYMPTOMS
MEDICATION
Destruction of Schwann cell Nausea & vomiting
Ondansetron
leads to disruption of myelin
sheaths Centrally located tumors may damage specific neural
pathways affecting nerve cells SURGICAL PROCEDURE MEDICATIONS
Craniectomy in the Antibiotics: Cefuroxime,
suboccipital region Celecoxib
Inadequate production of myelin
Injury to localized brain regions. Symptoms vary
sheaths
depending on location affected

MEDICATIONS
Insufficient sending of electrical impulses Analgesic: Ketorolac, Tramadol
between the nerve cells to travel back Cerebellopontine right-angle Opioid: Fentanyl
and forth rapidly tumor

Delayed sending of electrical signal and

impulses in the body that impedes body Tumor Tumor Tumor Tumor Tumor Tumor
coordination pressuring pressuring pressuring pressuring pressuring pressuring
cranial Nerve cranial Nerve cranial Nerve Cranial Nerve cranial nerve Occipital
V (Trigeminal VIII (Acoustic IX X (Vagus XI (Spinal/ Lobe
Nerve) Nerve) (Glossophary Nerve) accessory
ngeal), CN XII nerve)
(Hypoglossal
Nerve)
 SIGNS AND SYMPTOMS SIGNS AND SIGNS AND
SYMPTOMS
Dysmetria SYMPTOMS
Muscle weakness -Difficulty -nausea
vomitingand
Dysdiadochokinesia
Ataxia swallowing
Loss of balance SIGNS AND SIGNS AND
Poor body coordination SIGNS AND SIGNS AND
SYMPTOMS SYMPTOMS SYMPTOMS
SYMPTOMS Rigidity
-Loss of
ability to
-Loss
ability toof
hear trapeziusof Blurring
both eyesof
taste in the right muscle
ear

ASSESSMENT
RESULTTOOL &
-METS 10 Specific
scale (scored <4 activity
Poor ASSESSMENT ASSESSMENT ASSESSMENT ASSESSMENT
functional capacity) TOOL & TOOL & TOOL & TOOL &
-Range ofGrading
Motion (ROM) RESULT RESULT RESULT RESULT
-Taste
teststrip -Whisper test -Manual
muscle testing -PERRLA,
Snellen’s
(MMT): chart

NURSING DIAGNOSIS:
Impaired
related physical
to loss mobility
of balance and NURSING DIAGNOSIS:
muscle weakness as
evidenced by dependency in Risk for fall related to NURSING DIAGNOSIS:
doing ADL’s. Disturbed sensory
perception related to
loss of balance NURSING DIAGNOSIS: impaired visual field as
evidenced by blurring of vision
Risk for injury related to
difficulty seeing on both
visual fields and sudden
blacking out of vision.