Vestibular schwannoma with contralateral facial pain - case report

Behzad Eftekhar; Mohammadreza Gheini; Mohammad Ghodsi; Ebrahim Ketabchi

doi:10.1186/1471-2377-3-2

Vestibular schwannoma with contralateral facial pain - case report

Behzad Eftekhar, Mohammadreza Gheini, Mohammad Ghodsi, Ebrahim Ketabchi

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

BACKGROUND: Vestibular schwannoma (acoustic neuroma) most commonly presents with ipsilateral disturbances of acoustic, vestibular, trigeminal and facial nerves. Presentation of vestibular schwannoma with contralateral facial pain is quite uncommon.

CASE PRESENTATION: Among 156 cases of operated vestibular schwannoma, we found one case with unusual presentation of contralateral hemifacial pain.

CONCLUSION: The presentation of contralateral facial pain in the vestibular schwannoma is rare. It seems that displacement and distortion of the brainstem and compression of the contralateral trigeminal nerve in Meckel's cave by the large mass lesion may lead to this atypical presentation. The best practice in these patients is removal of the tumour, although persistent contralateral pain after operation has been reported.

Original language	English
Pages (from-to)	1-4
Number of pages	4
Journal	BMC Neurology
Volume	3
Issue number	2
DOIs	https://doi.org/10.1186/1471-2377-3-2
Publication status	Published - 21 Mar 2003
Externally published	Yes

Keywords

Adult
Ataxia
Cerebellopontine Angle
Facial Pain
Female
Hearing Loss
Humans
Neuroma, Acoustic
Vertigo
Case Reports
Journal Article

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10.1186/1471-2377-3-2

Cite this

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title = "Vestibular schwannoma with contralateral facial pain - case report",

abstract = "BACKGROUND: Vestibular schwannoma (acoustic neuroma) most commonly presents with ipsilateral disturbances of acoustic, vestibular, trigeminal and facial nerves. Presentation of vestibular schwannoma with contralateral facial pain is quite uncommon.CASE PRESENTATION: Among 156 cases of operated vestibular schwannoma, we found one case with unusual presentation of contralateral hemifacial pain.CONCLUSION: The presentation of contralateral facial pain in the vestibular schwannoma is rare. It seems that displacement and distortion of the brainstem and compression of the contralateral trigeminal nerve in Meckel's cave by the large mass lesion may lead to this atypical presentation. The best practice in these patients is removal of the tumour, although persistent contralateral pain after operation has been reported.",

keywords = "Adult, Ataxia, Cerebellopontine Angle, Facial Pain, Female, Hearing Loss, Humans, Neuroma, Acoustic, Vertigo, Case Reports, Journal Article",

author = "Behzad Eftekhar and Mohammadreza Gheini and Mohammad Ghodsi and Ebrahim Ketabchi",

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doi = "10.1186/1471-2377-3-2",

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T1 - Vestibular schwannoma with contralateral facial pain - case report

AU - Eftekhar, Behzad

AU - Gheini, Mohammadreza

AU - Ghodsi, Mohammad

AU - Ketabchi, Ebrahim

PY - 2003/3/21

Y1 - 2003/3/21

N2 - BACKGROUND: Vestibular schwannoma (acoustic neuroma) most commonly presents with ipsilateral disturbances of acoustic, vestibular, trigeminal and facial nerves. Presentation of vestibular schwannoma with contralateral facial pain is quite uncommon.CASE PRESENTATION: Among 156 cases of operated vestibular schwannoma, we found one case with unusual presentation of contralateral hemifacial pain.CONCLUSION: The presentation of contralateral facial pain in the vestibular schwannoma is rare. It seems that displacement and distortion of the brainstem and compression of the contralateral trigeminal nerve in Meckel's cave by the large mass lesion may lead to this atypical presentation. The best practice in these patients is removal of the tumour, although persistent contralateral pain after operation has been reported.

AB - BACKGROUND: Vestibular schwannoma (acoustic neuroma) most commonly presents with ipsilateral disturbances of acoustic, vestibular, trigeminal and facial nerves. Presentation of vestibular schwannoma with contralateral facial pain is quite uncommon.CASE PRESENTATION: Among 156 cases of operated vestibular schwannoma, we found one case with unusual presentation of contralateral hemifacial pain.CONCLUSION: The presentation of contralateral facial pain in the vestibular schwannoma is rare. It seems that displacement and distortion of the brainstem and compression of the contralateral trigeminal nerve in Meckel's cave by the large mass lesion may lead to this atypical presentation. The best practice in these patients is removal of the tumour, although persistent contralateral pain after operation has been reported.

KW - Adult

KW - Ataxia

KW - Cerebellopontine Angle

KW - Facial Pain

KW - Female

KW - Hearing Loss

KW - Humans

KW - Neuroma, Acoustic

KW - Vertigo

KW - Case Reports

KW - Journal Article

U2 - 10.1186/1471-2377-3-2

DO - 10.1186/1471-2377-3-2

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JO - BMC Neurology

JF - BMC Neurology

SN - 1471-2377

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ER -

Vestibular schwannoma with contralateral facial pain - case report

Abstract

Keywords

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