Tew J M, Yeh H S, Miller G W, Shahbabian S
Neurosurgery. 1983 Aug;13(2):186-8. doi: 10.1227/00006123-198308000-00015.
Two patients with schwannomas that originated from the region of the geniculate ganglion of the facial nerve are reported. They presented with progressive facial nerve paralysis and variable disturbance of hearing. Computed tomograms demonstrated a mass lesion eroding the temporal bone (petrous portion) and extending into the middle fossa. The treatment consisted of complete excision of the tumor, and a hypoglossal-facial nerve anastomosis. Computed tomography should be performed on all patients with facial palsy of a progressive nature. Early diagnosis and surgical treatment of facial schwannoma should permit preservation of function of the facial and the acoustic nerves.
报告了2例起源于面神经膝状神经节区域的施万瘤患者。他们表现为进行性面神经麻痹和不同程度的听力障碍。计算机断层扫描显示有一肿块病变侵蚀颞骨(岩部)并延伸至中颅窝。治疗包括肿瘤的完整切除以及舌下神经-面神经吻合术。对于所有具有进行性面神经麻痹的患者均应进行计算机断层扫描。面神经施万瘤的早期诊断和手术治疗应能保留面神经和听神经的功能。