Geniculate Ganglion Tumor Manifesting as Insidious Peripheral Facial Nerve Palsy
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.
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
- House JW, Brackmann DE (1983) Facial nerve grading system. Otolaryngol Head Neck Surg 93: 184-193.
- 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.
