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Case Report

Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report

  • Authors:
    • Michel Heide Talebnasab
    • Dan Dupont Hougaard
  • View Affiliations / Copyright

    Affiliations: Balance & Dizziness Centre, Department of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, 9000 Aalborg, Denmark
  • Article Number: 126
    |
    Published online on: February 10, 2023
       https://doi.org/10.3892/ol.2023.13712
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Abstract

Vestibular schwannoma is the most common intracranial schwannoma and constitutes ~8% of all intracranial tumors in adults with an estimated incidence rate of ~1.3/100.000. Facial nerve schwannomas and cochlear nerve schwannomas are rare, and information regarding incidence rates of these is still missing in the literature. All three variants of nerve origin present most frequently with unilateral hearing loss, unilateral tinnitus and disequilibrium. Facial nerve palsy is a common finding in facial nerve schwannomas but a rare finding with vestibular schwannomas. The symptoms are normally persistent and often progress over time, leading to therapeutic interventions that predispose to quality of life‑reducing morbidities, e.g., deafness and/or imbalance. The case report describes a 17‑year‑old male who, during a 1‑month period, presented with profound unilateral hearing loss and severe facial nerve palsy followed by complete remission. An MRI scan showed a 5x8‑mm schwannoma within the internal acoustic canal. Profound hearing loss together with concomitant severe peripheral facial nerve palsy in small schwannomas within the internal acoustic canal may show spontaneous and total remission within weeks of symptom debut. This knowledge, as well as possible remission of objective findings, should be considered before interventions with potential severe morbidity are suggested.
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Copy and paste a formatted citation
Spandidos Publications style
Talebnasab MH and Hougaard DD: Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report. Oncol Lett 25: 126, 2023.
APA
Talebnasab, M.H., & Hougaard, D.D. (2023). Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report. Oncology Letters, 25, 126. https://doi.org/10.3892/ol.2023.13712
MLA
Talebnasab, M. H., Hougaard, D. D."Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report". Oncology Letters 25.3 (2023): 126.
Chicago
Talebnasab, M. H., Hougaard, D. D."Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report". Oncology Letters 25, no. 3 (2023): 126. https://doi.org/10.3892/ol.2023.13712
Copy and paste a formatted citation
x
Spandidos Publications style
Talebnasab MH and Hougaard DD: Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report. Oncol Lett 25: 126, 2023.
APA
Talebnasab, M.H., & Hougaard, D.D. (2023). Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report. Oncology Letters, 25, 126. https://doi.org/10.3892/ol.2023.13712
MLA
Talebnasab, M. H., Hougaard, D. D."Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report". Oncology Letters 25.3 (2023): 126.
Chicago
Talebnasab, M. H., Hougaard, D. D."Transient profound hearing loss and severe facial nerve palsy in schwannomas within the internal acoustic canal: A case report". Oncology Letters 25, no. 3 (2023): 126. https://doi.org/10.3892/ol.2023.13712
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