The Journal of International Advanced Otology
Case Report

Cochlear Erosion due to a Facial Nerve Schwannoma

1.

Department of ENT-HNS, European Institute for Otorhinolaryngology-Head and Neck Surgery and Skull Base Surgery, Sint Augustinus Hospital, GZA, Antwerp, Belgium

2.

Department of Radiology, Sint Augustinus Hospital, GZA, Antwerp, Belgium

3.

Department of ENT-HNS, AZ Herentals, Herentals, Belgium

4.

Department of Radiology, AZ St. Jan Hospital, Bruges, Belgium

J Int Adv Otol 2019; 15: 330-332
DOI: 10.5152/iao.2019.5304
Read: 205 Downloads: 33 Published: 03 September 2019

Abstract

 

Facial nerve schwannomas are rare benign neoplasms. We report a case of a 60-year-old woman who initially presented with vestibular complaints. Magnetic resonance imaging (MRI) revealed a facial nerve schwannoma centered on the right geniculate ganglion extending in the labyrinthine segment. The patient consulted again after 2 months because she developed a sudden and severe right-sided sensorineural hearing loss. MRI showed no progression or pathological enhancement in the membranous labyrinth. A cone beam computed tomography (CT) of the temporal bone was performed and revealed a large erosion at the region of the geniculate ganglion in open communication with the middle turn of the cochlea. This case report demonstrates the importance of CT in facial nerve schwannomas for evaluating the impact on the surrounding structures.

 

Cite this article as: Loos E, Wuyts L, Puls T, De Foer B, Casselman JW, Bernaerts A, et al. Cochlear Erosion due to a Facial Nerve Schwannoma. J Int Adv Otol 2019; 15(2): 330-2.

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ISSN1308-7649 EISSN 2148-3817