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- AMANO Toshiyuki
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- SANGATSUDA Yuhei
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- HATA Nobuhiro
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- INOUE Daisuke
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- MORI Megumu
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- NAKAMIZO Akira
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- YOSHIMOTO Koji
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- MIZOGUCHI Masahiro
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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- SASAKI Tomio
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
書誌事項
- タイトル別名
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- —Case Report—
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抄録
A 74-year-old female suffered hearing disturbance in the right ear persisting for several years, followed by sudden onset of right facial nerve palsy. Her symptoms gradually worsened and neuroradiological imaging revealed a 4-cm cerebellopontine angle (CPA) tumor. Intraoperatively, the tumor was found to originate from the facial nerve. Total removal of the tumor was achieved, followed by a split hypoglossal-facial nerve anastomosis. Facial nerve schwannomas are rare and extremely difficult to preoperatively distinguish from vestibular schwannomas, especially if arising from the CPA and the internal auditory canal. However, preoperative diagnosis of facial nerve schwannomas is important because functional preservation of the facial nerve is more challenging than for vestibular schwannomas. Facial nerve palsy is one of the most unique symptoms in patients with facial nerve schwannomas, but is rare with vestibular schwannomas. Facial nerve schwannomas should be included in the differential diagnosis of CPA tumors with atypical clinical manifestations, and patients should be informed before surgery of the possibility of facial nerve dysfunction and the consequent need for facial nerve graft or reconstruction.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 53 (4), 242-244, 2013
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680035248000
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- NII論文ID
- 10031151339
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BC3srot1amtw%3D%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 23615416
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可