CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(02): 510-513
DOI: 10.1055/s-0041-1734356
Case Report

Facial Nerve Schwannoma: The Rare/Great Mimicker of Vestibular Schwannoma/Neuroma

Deepthi Pathapati
1   Department of Radiodiagnosis, Omega Hospitals, Hyderabad, Telangana, India
,
Kiran Barla
1   Department of Radiodiagnosis, Omega Hospitals, Hyderabad, Telangana, India
,
Monal Dayal
2   Department of Pathology, Omega Hospitals, Hyderabad, Telangana, India
,
Rajitha Gati
1   Department of Radiodiagnosis, Omega Hospitals, Hyderabad, Telangana, India
,
Praveen Kumar Lakota
1   Department of Radiodiagnosis, Omega Hospitals, Hyderabad, Telangana, India
› Institutsangaben

Abstract

Schwannomas are benign tumors arising from Schwann cells which are a protective casing of nerves, composing myelin sheath and can develop in any nerve where Schwann cells are present. Most common are vestibulocochlear nerve schwannomas. Facial nerve schwannomas (FNSs) are uncommon tumors involving seventh nerve of which geniculate ganglion involvement is most common. Clinical presentations and the imaging appearances of FNSs are influenced by the topographical anatomy of the facial nerve and vary according to the segments involved. We report a case of 73-year-old man presenting with right side facial weakness of lower motor neuron type involvement. Computed tomography and magnetic resonance imaging are clinching the diagnosis. An early diagnosis is important in containing the disease facilitating early surgical intervention.



Publikationsverlauf

Artikel online veröffentlicht:
27. Juli 2021

© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Mundada P, Purohit BS, Kumar TS, Tan TY. Imaging of facial nerve schwannomas: diagnostic pearls and potential pitfalls. Diagn Interv Radiol 2016; 22 (01) 40-46
  • 2 Gupta S, Mends F, Hagiwara M, Fatterpekar G, Roehm PC. Imaging the facial nerve: a contemporary review. Radiol Res Pract 2013; 2013: 248039
  • 3 Chen M-C, Tseng T-M, Hung S-H, Chen P-Y. Facial nerve schwannoma: a case report and review of the literature. Oncol Lett 2014; 8 (06) 2787-2789
  • 4 Symon L, Cheesman AD, Kawauchi M, Bordi L. Neuromas of the facial nerve: a report of 12 cases. Br J Neurosurg 1993; 7 (01) 13-22
  • 5 Wiggins III RH, Harnsberger HR, Salzman KL, Shelton C, Kertesz TR, Glastonbury CM. The many faces of facial nerve schwannoma. AJNR Am J Neuroradiol 2006; 27 (03) 694-699
  • 6 Saito H, Baxter A. Undiagnosed intratemporal facial nerve neurilemomas. Arch Otolaryngol 1972; 95 (05) 415-419
  • 7 Latack JT, Gabrielsen TO, Knake JE. et al. Facial nerve neuromas: radiologic evaluation. Radiology 1983; 149 (03) 731-739
  • 8 Okabe Y, Nagayama I, Takiguchi T, Furukawa M. Intratemporal facial nerve neurinoma without facial paralysis. Auris Nasus Larynx 1992; 19 (04) 223-227
  • 9 Sataloff RT, Frattali MA, Myers DL. Intracranial facial neuromas: total tumor removal with facial nerve preservation: a new surgical technique. Ear Nose Throat J 1995; 74 (04) 244-246
  • 10 Angeli SI, Brackmann DE. Is surgical excision of facial nerve schwannomas always indicated. ? Otolaryngol Head Neck Surg 1997; 117 (06) S144-S147
  • 11 King TT, Morrison AW. Primary facial nerve tumors within the skull. J Neurosurg 1990; 72 (01) 1-8
  • 12 Lipkin AF, Coker NJ, Jenkins HA, Alford BR. Intracranial and intratemporal facial neuroma. Otolaryngol Head Neck Surg 1987; 96 (01) 71-79