Symptoms of facial nerve neuroma









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Virchow first reported schwannoma in , a tumor arising from the neural sheath of the peripheral sensory, motor, sympathetic, and cranial nerves. Select your language of interest to view the total content in your interested language. Hyper-cellular areas Antoni A are composed of spindle shaped cells arranged in interlacing fascicles having a comma shaped nucleus with pointed ends and scanty cytoplasm. For those patients going for surgery, surgeon has to counsel adequately the patients and prepare them for the possibility of facial nerve sacrifice, and discuss other rehabilitation options such as nerve graft [ 14 ].

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Acoustic Neuroma Facial Paralysis

Select your language of interest to view the total content in your interested language. In extreme cases facial nerve has to be sacrificed, thus a permanent facial paralysis is inevitable. FNSs show multi-segmental involvement which acquires a dumbbell shape, narrow labrynthine segment forms the isthmus of dumbbell between the globular tumor component at Internal acoustic canal and geniculate ganglion. Facial nerve is made up of numerous fascicles each containing a bundle of nerve fibers bounded by connective tissue.

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Primary tumor of the facial nerve

Computerized tomography imaging revealed soft tissue in antrum, widening of bony canal throughout temporal bone beyond anterior genu with small soft tissue in right mesotympanum, resorption of lateral wall of cochlea, stapes suprastructure and long process of incus Figure 2. It appears that the clinical presentation is helpful only if there is a history of slow gradual facial paresis associated with a slow growing tumor. This location is also a common site for occurrence of facial nerve hemangiomas. Facial nerve schwannoma are rare and benign intra-tympanic tumors arising from any segment of nerve with a special predilection for the geniculate area which is most commonly involved [ 3 , 4 ].

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Description: Facial nerve schwannomas are relatively uncommon but when present are mostly seen in intra-tympanic region. Between the lateral end of internal auditory meatus and branch to stapedius, the fascicles of facial nerve form single bundle [ 6 ]. The treatment of facial nerve schwannomas consists of removing tumor from the involved facial nerve segment and restoring facial function with a cable graft or a nerve crossover graft depending upon the size and location of tumor. As can be seen it was located in the intra-tympanic region extending from first genu of the facial nerve up to stylomastoid foramen. Facial nerve decompression was done, and excised specimen was sent for histopathology. Occasionally, the geniculate ganglion component of a dumbbell shaped FNS erodes into cochlea and thus mimics a transmodiolar acoustic schwannoma. Cytology confirming Facial Schwannoma.
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