The Neurologist: Clinical & Therapeutics Journal
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Image Article   
  • Neurol Clin Therapeut J 2018, Vol 2(1): 1

Geniculate Ganglion Tumor Manifesting as Insidious Peripheral Facial Nerve Palsy

Fernandes EP1, Brooks JBB2*, Prosdócimi FC3, Oliveira RA4, Silveira GL4 and Neto MR5
1UNIMES- Universidade Metropolitana de Santos, Brazil
2Department of Neurology, UNIMES- Universidade Metropolitana de Santos, Brazil
3Department of Structure and Function, UNIMES- Universidade Metropolitana de Santos, Brazil
4Clínica Mega Imagem, Brazil
5Institute of Neurological Sciences, Hospital Beneficencia Portuguesa de Sao Paulo, Brazil
*Corresponding Author: Dr. Brooks JBB, Department of Neurology, Irmandade Santa Casa de Misericórdia de Santos, Avenida Claudio Luiz da Costa 50, CEP 11075-900 Santos, SP, Brazil, Tel: +55 13 32020600, Email: joseph3b@gmail.com

Received: 07-May-2018 / Accepted Date: 14-May-2018 / Published Date: 21-May-2018

Clinical Description

A 20-year-old woman presented with a 9-month history of slowly progressive right peripheral facial nerve palsy. Clinical assessment showed Grade II House-Brackmann right facial nerve palsy [1]. Otoscopy and laboratory examination were normal. History of traumatic brain injury was negative. Magnetic resonance imaging of the brain showed a T1 hypointense, T2 hyperintense and paramagnetic agent enhancement lesion, measuring 1.1 x 0.9 x 0.9 cm, located on the geniculate ganglion topography of the of the right facial nerve (Figure 1). Therapeutic options were discussed with the patient and the wait and- scan strategy was instituted, since she had a near-normal facial nerve function [2]. Attention to this clinical–radiologic correlation may help physicians make correct diagnoses.

neurologist-clinical-therapeutics-right-facial-nerve

Figure 1: Geniculate ganglion tumor of the right facial nerve. A) Coronal (left) and B) Axial (right) Brain MRI T1 post contrast showing a paramagnetic agent enhancement lesion, measuring 1.1 × 0.9 × 0.9 cm, located on the topography of the geniculate ganglion of the right facial nerve (arrow).

References

  1. House JW, Brackmann DE (1983) Facial nerve grading system. Otolaryngol Head Neck Surg 93: 184-193.
  2. Lahlou G, Nguyen Y, Russo FY, Ferrary E, Sterkers O, et al. (2016) Geniculate ganglion tumors: clinical presentation and surgical results. Otolaryngol Head Neck Surg 155: 850-855.

Citation: Fernandes EP, Brooks JBB, Prosdócimi FC, Oliveira RA, Silveira GL, et al. (2018) Geniculate Ganglion Tumor Manifesting as Insidious Peripheral Facial Nerve Palsy. Neurol Clin Therapeut J 2: 107.

Copyright: © 2018 Fernandes EP, et al. This is an open-access article distributed under the erms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top