Concomitant Vestibular Schwannoma and Pituicytoma: A case report and review of the literature

• First reported case of synchronous vestibular schwannoma and pituicytoma. • Staged translabyrinthine and transsphenoidal resection achieved excellent outcomes. • Multidisciplinary approach ensures optimal tumour management planning. Vestibular schwannomas co-occurring with other intracranial tumours, particularly pituitary tumours, are exceptionally rare. Our review revealed only 48 cases documented in the literature. We additionally present a unique case of synchronous vestibular schwannoma and pituicytoma, a combination not previously reported. A 51-year-old healthy male presented with rapid-onset sensorineural hearing loss and tinnitus. Diagnostic imaging revealed a vestibular schwannoma and incidental pituitary tumour, later confirmed histologically as a pituicytoma. Surgical management involved a staged resection utilising translabyrinthine and transsphenoidal approaches for tumour removal. At 18 months postoperatively, the patient remains asymptomatic, with complete resolution of his presenting symptoms. To our knowledge, this is the first reported case of synchronous vestibular schwannoma and pituicytoma. We highlight the multidisciplinary approach that contributed to the favourable clinical outcome, underscoring the importance of collaborative management in complex cases involving multiple intracranial pathologies.