Facial nerve hemangioma at the geniculate ganglion

Case contributed by Dr Azza Elgendy

Presentation

Right facial palsy.

Patient Data

Age: 40
Gender: Male

There is a medium sized expansile lytic lesion involving the expected location of the right geniculate ganglion of the facial nerve. It gives the classic "honeycombing appearance " of the facial nerve venous malformation (hemangioma). There is sparing of the otic capsule. Almost all the course of tympanic segment of the facial nerve is involved. It also extends along the labyrinthine segment of the facial nerve reaching the anterior wall of the IAC with associated bone destruction.

Case Discussion

This case depicts typical appearances of a facial nerve venous malformation also known as facial nerve haemangioma. 

The case is courtesy of Alexandria University teaching hospitals.

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Case information

rID: 27653
Case created: 12th Feb 2014
Last edited: 7th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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