Presentation

74 male under radiological surveillance for a presumed facial nerve schwannoma, an incidental finding on imaging investigations following an MVA. Completely asymptomatic with no headache, hearing loss, nor facial weakness. Nil focal neurological deficits to cranial nerve and upper and limb sensorimotor examinations. Audiology testing was similarly unremarkable. Initial CT and MRI imaging (digital images unavailable; reports only) demonstrated a 10mm nodule in the anterio-superior portion of the left internal acoustic canal, with thickening and enhancement of the labyrinthine segment of the left facial nerve and abnormal enhancement in the geniculate ganglion. At his 2 year review, a lobulated mass related to the middle turbinate of the left nasal cavity was also identified.

Patient Data

Age: 79
Gender: Male
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