A Case of Hearing Loss and Trigeminal Neuralgia Secondary to Tandem Cochlear Nerve Schwannoma and Neurovascular Conflict of the Left Trigeminal Nerve

Ellina Hattar; Gregory P. Lekovic; William H. Slattery

doi:10.1055/s-0045-1803487

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803487

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A Case of Hearing Loss and Trigeminal Neuralgia Secondary to Tandem Cochlear Nerve Schwannoma and Neurovascular Conflict of the Left Trigeminal Nerve

Ellina Hattar

¹Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States

,

Gregory P. Lekovic

²University of California, Los Angeles, California, United States

,

William H. Slattery

³PIH Health House Clinic, Los Angeles, California, United States

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Abstract

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The patient is a 68-year-old man presenting with bilateral hearing loss and left trigeminal neuralgia. Imaging revealed several nerve sheath tumors including a left cerebellopontine angle tumor. Due to unrelenting facial pain, the patient underwent resection of his left cerebellopontine angle tumor, a cochlear schwannoma. He was also found to have vascular compression of his left trigeminal nerve, for which a microvascular decompression was performed. Postoperatively, the patient had complete resolution of his facial pain.