Chen Mei-Chien, Tseng Te-Ming, Hung Shih-Han, Chen Po-Yueh
Department of Otolaryngology Head and Neck Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan, R.O.C.
Department of Otolaryngology, Taipei Medical University Hospital, Taipei 110, Taiwan, R.O.C.
Oncol Lett. 2014 Dec;8(6):2787-2789. doi: 10.3892/ol.2014.2550. Epub 2014 Sep 18.
A vestibular schwannoma, often termed an acoustic neuroma, is a type of benign primary intracranial tumor of the myelin-forming cells of the vestibulocochlear nerve. The typical clinical presentation often includes ipsilateral sensorineural hearing loss/deafness, vertigo and tinnitus. In the present study, the case of a young male patient who presented with recurrent unilateral facial palsy without hearing impairment is presented. The patient was diagnosed with vestibular schwannoma and received steroidal treatment with prednisolone for two weeks. The patient's facial weakness recovered three weeks following treatment, however, the tumor subsequently grew. The patient then underwent Gamma Knife radiosurgery with a margin dose of 13 Gy. Six months after the radiosurgery, the tumor was stable without progression, and the patient's facial nerve function and hearing remained intact.
前庭神经鞘瘤,通常称为听神经瘤,是一种起源于前庭蜗神经髓鞘形成细胞的原发性颅内良性肿瘤。典型的临床表现通常包括同侧感音神经性听力损失/耳聋、眩晕和耳鸣。在本研究中,报告了一例年轻男性患者,其表现为反复单侧面神经麻痹且无听力障碍。该患者被诊断为前庭神经鞘瘤,并接受了泼尼松龙类固醇治疗两周。治疗后三周患者面部无力恢复,但随后肿瘤生长。该患者随后接受了边缘剂量为13 Gy的伽玛刀放射外科治疗。放射外科治疗六个月后,肿瘤稳定无进展,患者面神经功能和听力保持完好。