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Vestibular schwannoma with contralateral facial pain – case report

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Author(s): Eftekhar Behzad | Gheini Mohammadreza | Ghodsi Mohammad | Ketabchi Ebrahim

Journal: BMC Neurology
ISSN 1471-2377

Volume: 3;
Issue: 1;
Start page: 2;
Date: 2003;
Original page

ABSTRACT
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.

Tango Jona
Tangokurs Rapperswil-Jona

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