Facial Nerve Schwannoma Arising From the Cerebellopontine Angle

  • AMANO Toshiyuki
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • SANGATSUDA Yuhei
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • HATA Nobuhiro
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • INOUE Daisuke
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • MORI Megumu
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • NAKAMIZO Akira
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • YOSHIMOTO Koji
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • MIZOGUCHI Masahiro
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • SASAKI Tomio
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University

書誌事項

タイトル別名
  • —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>

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