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Rapidly growing cystic vestibular schwannoma with sudden onset facial palsy, ten years after subtotal excision
Author(s) -
Dandinarasaiah Manjunath,
Grinblat Golda,
Prasad Sampath Chandra,
Taibah Abdelkader,
Sanna Mario
Publication year - 2018
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26768
Subject(s) - schwannoma , medicine , facial nerve , surgery , vestibular system , palsy , facial paralysis , translabyrinthine approach , paralysis , cerebellopontine angle , radiology , magnetic resonance imaging , pathology , alternative medicine
An elderly male patient diagnosed with a right‐sided cystic vestibular schwannoma (CVS) at our center underwent a translabyrinthine approach with a subtotal excision to preserve the facial nerve (FN). The tumor grew slowly for the first 9 years but in the subsequent 2 years grew rapidly, with the patient developing a FN paralysis. Using the previous approach, a second surgery was done and the tumor was excised, leaving behind a sheath of tumor on the facial and lower cranial nerves. This case demonstrates that CVSs show unpredictable growth patterns and need to be followed up for a longer period of time. Laryngoscope , 128:1649–1652, 2018