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Abstract: Facial nerve Schwannomas(FNS) are uncommon tumors of the temporal bone,which arise from the Schwann cells and may involve any area of the facial nerve.The clinical manifestation of FNS vary based on tumor size and location,mainly presenting hearing loss and FN paralysis.MRI and computed tomography are the main diagnostic test for FNS. Thin-sectioned MRI with gadolinium can positively identify an enhancing lesion along the FN.Because of its lower morbidity,we always misdiagnose it as other middle ear related deseases,such as middle ear cholesteatoma mentioned in this paper.
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Key words:
- facial nerve schwannomas /
- diagnostic errors
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[1] MCRACKAN T R,WILKINSON E P,BRACKMANN D E,et al.Stereotactic radiosurgery for facial nerve schwannomas:meta-analysis and clinicalreview[J].Otol Neurotol,2015,36:393-398.
[2] 王登元,卜行宽,邢光前,等.小儿听神经瘤神经生理学特点及意义[J].中华医学杂志,2003,83(4):281-284.
[3] MCRACKAN T R,WILKINSON E P,RIVAS A.Primary tumors of the facial nerve[J].Otolaryngol Clin North Am,2015,48:491-500.
[4] MCRACKAN T R,RIVAS A R,WANNA G B,et al.Facial nerve outcomes in facial nerve schwannomas[J].Otol Neurotol,2011,33:78-82.
[5] MA Q,SONG H,ZHANG P,et al.Diagnosis and management of intraparotid facial nerve schwannoma[J].J Craniomaxillofac Surg,2010,38:271-273.
[6] GINSBERG L E,DEMONTE F.Diagnosis please.Case 16:facial nerve schwannoma with middle cranial fossainvolvement[J].Radiology,1999,213:364-368.
[7] JAGER L,REISER M.CT and MR imaging of the normal and pathologic conditions of the facial nerve[J].Eur J Radiol,2001,40:133-146.
[8] 宦怡,荆自芳,张和国.颞内面神经瘤的CT诊断[J].中华放射学杂志,1995,29(6):409-411.
[9] 张骥,罗道天.面神经瘤的CT和MRI诊断[J].中华放射学杂志,2001,35(7):491-493.
[10] PARK S H,KIM J,MOON I S,et al.The best candidates for nerve-sparing stripping surgery for facial nerve schwannoma[J].Laryngoscope,2014,124:2610-2615.
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