Primary facial nerve paraganglioma: report and review of the literature

2020 ◽  
Vol 13 (12) ◽  
pp. e237537
Author(s):  
Jonathan Austin Berry ◽  
Cherie Ann O Nathan ◽  
Ashley B Flowers ◽  
Gauri Mankekar
Keyword(s):  
Facial Nerve ◽  
Surgical Resection ◽  
Facial Paralysis ◽  
Clinical Importance ◽  
Mri Imaging ◽  
Review Of The Literature ◽  
Surveillance Imaging ◽  
Complete Surgical Resection ◽  
History Of ◽  
Ct And Mri

This report describes the diagnosis and treatment of a patient with a rare primary facial nerve paraganglioma as well as a review of the current literature. A 60-year-old male patient presented to our clinic with a 4-month history of left-sided progressive facial paralysis House-Brackmann V. Biopsy taken during facial nerve (FN) decompression confirmed the diagnosis of paraganglioma. The left FN was sacrificed during resection of the mass and a 12-7 jump graft, using the left greater auricular nerve, was performed with acceptable outcomes. The rarity of these tumours does not discount their clinical importance or the necessity to include them in the differential when presented with unilateral FN paralysis. Investigation should begin with CT and MRI imaging to identify and localise the potential mass. Histologic confirmation requires tissue. While surveillance imaging is occasionally an option, often complete surgical resection of the mass and sacrifice of the nerve is necessary.

scholarly journals Congenital unilateral facial palsy revealing a facial nerve agenesis: a case report and review of the literature

2019 ◽  
Vol 5 (1) ◽  
pp. 20180029
Author(s):  
Yaotse Elikplim Nordjoe ◽  
Ouidad Azdad ◽  
Mohamed Lahkim ◽  
Laila Jroundi ◽  
Fatima Zahrae Laamrani
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Moebius Syndrome ◽  
Temporal Bone Ct

Facial nerve aplasia is an extremely rare condition that is usually syndromic, namely, in Moebius syndrome. The occurrence of isolated agenesis of facial nerve is even rarer, with only few cases reported in the literature. We report a case of congenital facial paralysis due to facial nerve aplasia diagnosed on MRI, while no noticeable abnormality was detected on the temporal bone CT.

scholarly journals An Interesting Case Report of Frontal Sinus Keratocyst

2019 ◽  
Vol 9 (1) ◽  
pp. 100
Author(s):  
Alireza Mohebbi ◽  
Mohammad Aghajanpour
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
Frontal Sinus ◽  
Interesting Case ◽  
Ophthalmological Examination ◽  
Eyelid Edema ◽  
Complete Surgical Resection ◽  
Orbital Wall ◽  
History Of ◽  
The Right

Purpose: To report an unusual case of frontal sinus keratocyst. Case Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely. Conclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.

scholarly journals Primary Intracranial Leiomyosarcoma: Report of a Case and Review of the Literature

Sarcoma ◽  
2006 ◽  
Vol 2006 ◽  
pp. 1-3 ◽  
Author(s):  
Sakeer Hussain ◽  
Anil Nanda ◽  
Marjorie Fowler ◽  
Federico L. Ampil ◽  
Gary V. Burton
Keyword(s):  
Ct Scan ◽  
Review Of The Literature ◽  
Therapeutic Approaches ◽  
Provisional Diagnosis ◽  
Mesenchymal Tumors ◽  
Bony Destruction ◽  
Complete Surgical Resection ◽  
History Of ◽  
Histopathologic Analysis ◽  
Pet Scans

A 26-year old man presented with a 3-month history of a progressively enlarging palpable parieto-occipital mass. A CT scan indicated the lesion arose from the dura with bony destruction. A stealth assisted craniotomy was performed with the provisional diagnosis of osteoblastic meningioma. Further histopathologic analysis of the intracranial mass was consistent with leiomyosarcoma. Staging evaluation, including CT and PET scans, demonstrated no other sites of disease. Despite complete surgical resection and radiotherapy to the resection site, the disease recurred locally and systematically 5 months later. Primary intracranial mesenchymal tumors are rare and few cases have been previously reported. Outcomes have been universally poor and current therapeutic approaches appear to have only limited benefit.

scholarly journals Complete surgical resection of a congenital gliosarcoma with long time survival: Case report and review of the literature

2020 ◽  
Vol 21 ◽  
pp. 200375
Author(s):  
Sofiene Bouali ◽  
Kamel Bahri ◽  
Alia Zehani ◽  
Alaa Bel Haj ◽  
Imed Ben Said ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
Review Of The Literature ◽  
Complete Surgical Resection ◽  
Long Time ◽  
Survival Case

scholarly journals Complete surgical resection of high-grade astroblastoma with long time survival: case report and review of the literature

Neurocirugía ◽  
2006 ◽  
Vol 17 (1) ◽  
pp. 60-63 ◽  
Author(s):  
P. Miranda ◽  
R.D. Lobato ◽  
P.A. Gómez ◽  
A. Cabello ◽  
A. Martínez de Aragón
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
High Grade ◽  
Review Of The Literature ◽  
Complete Surgical Resection ◽  
Long Time ◽  
Survival Case

Anatomy and physiology of the facial nerve and aetiology of facial nerve palsy

2021 ◽  
pp. 963-968
Author(s):  
Onur Gilleard ◽  
Kalliroi Tzafetta
Keyword(s):  
Natural History ◽  
Facial Nerve ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Social Consequences ◽  
Detailed Knowledge ◽  
Anatomy And Physiology ◽  
History Of ◽  
Facial Nerve Anatomy

Facial paralysis can have significant functional and social consequences and presents a challenging reconstructive problem for plastic surgeons. Detailed knowledge of facial nerve anatomy and an understanding of the natural history of the different conditions which result in facial palsy is a prerequisite for clinicians who are involved in the management of this devastating affliction.

scholarly journals Giant Vulvar Condylomata: Two Cases and a Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Funda Gungor Ugurlucan ◽  
Cenk Yasa ◽  
Omer Demir ◽  
Ozlem Dural ◽  
Ekrem Yavuz ◽  
...  
Keyword(s):  
Blood Flow ◽  
Type 1 Diabetes ◽  
Surgical Resection ◽  
Cervical Dysplasia ◽  
Sexually Active ◽  
Review Of The Literature ◽  
Perianal Region ◽  
First Case ◽  
History Of

Introduction. Giant vulvar condyloma is usually associated with the HPV subtypes 6 and 11 and is characterized by excessive growth of verrucous lesions on the genitals and/or perianal region. It may be observed in sexually inactive as well as sexually active women. Immunosuppression plays an important role in the development of the disease. Patients and Methods. We report two cases of giant vulvar condyloma together with the review of the literature. Results. One case was a 21-year old sexually inactive woman with a history of Type 1 Diabetes. Second case was a 20-year-old sexually active woman with a rapidly progressing disease and cervical dysplasia. Both cases were operated; all the condylomatous structures were resected with preservation of the anatomy and clitoral innervation and blood flow. Skin and subcuticular dehiscence was the only complication encountered in the first case. Conclusion. Main treatment of giant vulvar condyloma is surgical resection with maintenance of the vulvar anatomy. Preservation of especially the clitoral innervation as much as possible is very important.

SYMPTOMATIC BRAINSTEM CAVERNOMAS

Neurosurgery ◽  
2009 ◽  
Vol 64 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Erik F. Hauck ◽  
Samuel L. Barnett ◽  
Jonathan A. White ◽  
Duke Samson
Keyword(s):  
Surgical Resection ◽  
Recurrent Events ◽  
Event Rate ◽  
Functional Decline ◽  
Surgical Morbidity ◽  
Free Interval ◽  
Complete Surgical Resection ◽  
History Of ◽  
Neurological Event

Abstract OBJECTIVE The goal of this study was to analyze the natural history of symptomatic brainstem cavernomas (medulla, pons, or midbrain) and outcome after surgical resection. METHODS We retrospectively analyzed clinical data of all patients who presented to our institution with symptomatic brainstem cavernomas between 1995 and 2007 (n = 44). RESULTS After a first neurological event, the median event-free interval was 2 years, with an annual event rate of 42%. After a second neurological event (new neurological deficit or significant worsening of the previous deficit), the median event-free interval was only 5 months, with a monthly event rate of 8%. After an observation period of up to 8 years, all patients ultimately underwent surgery. In 95% of the patients, surgery successfully prevented further events during a median follow-up period of 11 months (1 month–7 years; P < 0.001). The postoperative event rate was 5% per year in the first 2 years and 0% thereafter. In the multivariate analysis, only the preoperative modified Rankin scale score was predictive of the surgical outcome (odds ratio, 36.7; P = 0.015). The conditions of 2 patients (5%) were clinically worse compared with their preoperative conditions during the 1-year follow-up period; in one of these patients, this was caused by recurrent events. There was no mortality. CONCLUSION The event rate of symptomatic lesions seems to be high, particularly after recurrent events. Surgical morbidity can be low. Timely and complete surgical resection is recommended for symptomatic brainstem cavernomas to prevent patients' functional decline owing to recurrent events.

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