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A 'possible' optic nerve meningioma.

Abstract

A 58-year-old woman had progressive visual failure in her left eye over a two-year period. Radiological investigation, including tomography and computerized tomographic (CT) scanning, did not result in a diagnosis. When no useful vision remained, surgical exploration disclosed an optic sheath meningioma. Complete recovery followed removal of the tumor.

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BibTeXRIS

G C Ebers, J P Girvin, C B Canny. 1980. A 'possible' optic nerve meningioma.. https://doi.org/10.1001/archneur.1980.00500610061011

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[Recurrent facial paresis with facial neurinoma].

PATIENT: A clinical case of a 49-year-old man is described who presented with a right facial paresis for 4 weeks. The patient had undergone a decompression of facial nerve and a radical mastoidectomy elsewhere in 1998 because of a facial paresis and acute mastoiditis. In the following years a complete right facial paresis occurred several times improving with prednisolone. In addition to topognostic examinations a high resolution computed tomography of the temporal bone was made. CT showed a mass in the right tympanic cavity with close contact to the ossicular chain. Diagnostic tympanotomy disclosed a tumor of the tympanic segment of the facial nerve. Pathological examination indicated a diagnosis of neurinoma with an Antoni B architecture. In a second operation the tumor was resected totally and a facial nerve reconstruction was performed by a greater auricular nerve interposition graft. Seven month postoperative beginning nerve reinnervation was seen proceeding continually until the control examination after 1 1/2 year. DISCUSSION: Facial neurinoma are a rare course of facial paresis. There are no specific symptoms. That's why the diagnosis is difficult. But it is necessary to think of with differential diagnosis of facial paresis.

Cranial Nerve Neoplasms↗