Mastoid segment facial nerve schwannoma

Case contributed by Charlie Chia-Tsong Hsu
Diagnosis probable

Presentation

MRI brain for surgical planning of left posterior fossa meningioma.

Patient Data

Age: 60 years

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

MRI brain gadolinium enhanced T1 weighted images demonstrate an enhancing nodule in the mid segment of the right facial nerve (arrow). The normal mastoid segment of the left facial nerve is also shown (arrow head). This is an incidental finding and the evaluated left posterior meningioma is not shown. 

Case Discussion

Facial nerve schwannoma is a rare benign tumor. As schwannomas elsewhere it originates from the surface of the nerve, and displace and splay the nerve fibers over their eccentric growth. 

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