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DOI: 10.1055/s-0045-1809905
Contralateral Upper Motor Neuron Facial Palsy in a Case of Vestibular Schwannoma: A Consequence of an Underrecognized Anatomical Entity
Abstract
Neurological deficits due to vestibular schwannoma (VS) result from either direct compression on the ipsilateral long tracts and cranial nerves, or strain over the contralateral cranial nerves due to angular distortion. However, the occurrence of a contralateral isolated upper motor neuron (UMN) facial palsy in a case of VS is a rare phenomenon, presenting as a clinical localization puzzle. This is the first case report of a contralateral isolated UMN facial palsy due to VS, elucidating the plausible pathophysiological mechanism.
Publication History
Article published online:
19 June 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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