Vestibular schwannoma presenting with sudden facial paralysis.

Autor: Wexler DB; Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242., Fetter TW, Gantz BJ
Jazyk: angličtina
Zdroj: Archives of otolaryngology--head & neck surgery [Arch Otolaryngol Head Neck Surg] 1990 Apr; Vol. 116 (4), pp. 483-5.
DOI: 10.1001/archotol.1990.01870040105024
Abstrakt: Facial paralysis is an unusual manifestation of vestibular schwannoma, and generally signifies an advanced stage of tumor growth. We describe a case of eighth-nerve schwannoma that presented initially with rapid-onset complete unilateral facial paralysis. At the time of operation the nerve was found to be electrically intact despite marked compression by tumor. The facial nerve was preserved and facial motion has partially recovered postoperatively. All unexplained persistent facial paralysis should be evaluated by magnetic resonance imaging with paramagnetic contrast enhancement.
Databáze: MEDLINE