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Case Reports
. 2011 Jul;63(Suppl 1):49-51.
doi: 10.1007/s12070-011-0190-1. Epub 2011 Apr 5.

Facial nerve schwannoma involving middle cranial fossa: when the unilateral sensorineural hearing loss guide to the correct diagnosis

Case Reports

Facial nerve schwannoma involving middle cranial fossa: when the unilateral sensorineural hearing loss guide to the correct diagnosis

Alessandro De Stefano et al. Indian J Otolaryngol Head Neck Surg. 2011 Jul.

Abstract

The Facial Nerve Schwannoma is a rare tumor and it seldom involved the middle cranial fossa. Facial nerve schwannoma has various manifestations, including facial palsy but unfortunately facial nerve is very resistant to compression and often facial nerve paralysis or a facial weakness are not present. We present a case of giant facial nerve schwannoma involved the middle cranial fossa without facial nerve paralysis. In these cases the unilateral hearing loss (if present) guide to a correct diagnosis.

Keywords: Diagnosis; Facial nerve; Facial nerve paralysis; Middle cranial fossa.

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Figures

Fig. 1
Fig. 1
MRI scans showed an enhancing cerebellopontine angle tumor with considerable internal auditory canal and middle cranial fossa invasion
Fig. 2
Fig. 2
The CT images showed apical temporal bone erosion with involvement of geniculate ganglion area and tegmen tympani erosion interruption

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