J Neurol Surg A Cent Eur Neurosurg 2020; 81(06): 565-570
DOI: 10.1055/s-0039-1685168
Case Report

Schwannoma of the Greater Superficial Petrosal Nerve: An Unusual Site for a Common Tumor

Alok Mohan Uppar
1   Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India
,
Shilpa Rao
2   Department of Neuropathology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India
,
Chandrajit Prasad
3   NIIR, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India
,
Arivazhagan Arimappamagan
1   Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India
,
Vani Santosh
2   Department of Neuropathology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India
› Author Affiliations

Abstract

Greater superficial petrosal nerve (GSPN) schwannoma is a rare clinical entity. It forms a small subset of the larger group of facial nerve schwannomas. A thorough literature search yielded only 27 such cases reported to date in the English literature. We present one such rare case of GSPN schwannoma and discuss the clinical spectrum and management along with a review of the literature. We demonstrate the surgical steps in an operative video.



Publication History

Received: 30 August 2018

Accepted: 19 November 2018

Article published online:
03 May 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 
  • References

  • 1 Rosenblum B, Davis R, Camins M. Middle fossa facial schwannoma removed via the intracranial extradural approach: case report and review of the literature. Neurosurgery 1987; 21 (05) 739-741
  • 2 Aihara N, Yamada K, Matsuda F, Murakami S. Neurinoma of the greater superficial petrosal nerve developed acute facial palsy: case report and review of the literature. Skull Base 2001; 11 (01) 77-80
  • 3 Amirjamshidi A, Hashemi SMR, Abbassioun K. Schwannoma of the greater superficial petrosal nerve. J Neurosurg 2010; 113 (05) 1093-1098
  • 4 Ayberk G, Ozveren MF, Uzum N, Tosun O, Akcay EK. Cellular schwannoma of the greater superficial petrosal nerve presenting with abducens nerve palsy and xerophthalmia: case report. Neurosurgery 2008; 63 (04) E813-E814 ; discussion E814
  • 5 Dolenc VV, Korsic M. Middle cranial fossa schwannoma of the facial nerve. Br J Neurosurg 1996; 10 (05) 519-523
  • 6 Furlow LT. The neurosurgical aspects of seventh nerve neurilemmoma. J Neurosurg 1960; 17: 721-735
  • 7 Ichimura S, Yoshida K, Sutiono AB, Horiguchi T, Sasaki H, Kawase T. Greater petrosal nerve schwannomas-analysis of four cases and review of the literature. Neurosurg Rev 2010; 33 (04) 477-482
  • 8 Kinouchi H, Mikawa S, Suzuki A, Sasajima T, Tomura N, Mizoi K. Extradural neuromas at the petrous apex: report of two cases. Neurosurgery 2001; 49 (04) 999-1003 ; discussion 1003–1004
  • 9 Kleinsasser O, Friedmann G. On neurinoma of the nervus facialis [in German]. Zentralbl Neurochir 1959; 19: 49-59
  • 10 Kumon Y, Sakaki S, Ohta S, Ohue S, Nakagawa K, Tanaka K. Greater superficial petrosal nerve neurinoma. Case report. J Neurosurg 1999; 91 (04) 691-696
  • 11 Kusumi M, Oka H, Aliabadi H, Sato S, Kumabe T. The appropriate surgical approach to a greater petrosal nerve schwannoma in the setting of temporal lobe edema. World Neurosurg 2016; 85: 364.e5-364.e10
  • 12 Michel O, Wagner M, Guntinas-Lichius O. Schwannoma of the greater superficial petrosal nerve. Otolaryngol Head Neck Surg 2000; 122 (02) 302-303
  • 13 Mori R, Sakai H, Kato M. et al. Huge facial nerve schwannoma extending into the middle cranial fossa without facial palsy: case report [in Japanese]. No Shinkei Geka 2007; 35 (06) 591-598
  • 14 De Paulis D, Di Cola F, Marzi S, Ricci A, Coletti G, Galzio RJ. A rare case of greater petrosal nerve schwannoma. Surg Neurol Int 2011; 2: 60
  • 15 Sade B, Lee JH. Recovery of low-frequency sensorineural hearing loss following resection of a greater superficial petrosal nerve schwannoma. Case report. J Neurosurg 2007; 107 (01) 181-184
  • 16 Schmidinger A, Deinsberger W. Greater superficial petrosal nerve schwannoma. Acta Neurochir (Wien) 2005; 147 (06) 659-663; discussion 663
  • 17 Tremble E, Penfield W. Operative exposure of the facial canal: with removal of a tumor of the greater superficial petrosal nerve. Arch Otolaryngol 1936; 25: 573-579
  • 18 Umredkar A, Singla N, Gupta SK, Radotra B. Greater superficial petrosal nerve schwannoma: report of two cases and literature review. Neurol India 2011; 59 (05) 786-788
  • 19 Shao Y-X, Xie X, Liang H-S, Zhou J, Jing M, Liu E-Z. Microsurgical anatomy of the greater superficial petrosal nerve. World Neurosurg 2012; 77 (01) 172-182
  • 20 Fezeu F, Lee CC, Dodson BK. et al. Stereotactic radiosurgery for facial nerve schwannomas: a preliminary assessment and review of the literature. Br J Neurosurg 2015; 29 (02) 213-218
  • 21 Sheehan JP, Kano H, Xu Z. et al. Gamma Knife radiosurgery for facial nerve schwannomas: a multicenter study. J Neurosurg 2015; 123 (02) 387-394
  • 22 Hasegawa T, Kato T, Kida Y. et al. Gamma Knife surgery for patients with facial nerve schwannomas: a multiinstitutional retrospective study in Japan. J Neurosurg 2016; 124 (02) 403-410