Cavernous hemangioma of the internal auditory canal encasing the VII and VIII cranial nerve complex: case report and review of the literature

Mastronardi, Luciano; Carpineta, Ettore; Cacciotti, Guglielmo; Scipio, Ettore Di; Roperto, Raffaelino

doi:10.1007/s10143-016-0705-z

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…30 A more recent literature review presents contrasting evidence that these vascular malformations can present with hearing loss that is sudden, rapidly progressive or insidious in onset. 31…”

Section: Resultsmentioning

confidence: 99%

Rapidly progressive hearing loss occurring over weeks: review of differential diagnoses

et al. 2021

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Background Sudden hearing loss, or progressive hearing loss occurring over months to years, are well-established presentations. However, little is described in the medical literature on how to approach patients presenting with a rapidly progressive hearing loss occurring over weeks. This study aimed to evaluate the clinical significance of patients presenting with rapidly progressive hearing loss. Methods A case of rapidly progressive hearing loss occurring over 12 weeks is presented. A PubMed literature review was performed to determine the evidence-based differential diagnoses for rapidly progressive hearing loss. Results Fifteen causes were identified for rapidly progressive hearing loss: intracranial aetiologies (meningioma, lymphoma, metastatic deposit, cavernous angioma, meningitis, superficial siderosis); paraneoplastic syndrome (small cell lung carcinoma, thymoma); inflammatory or autoimmune disorders (autoimmune inner-ear disease, sarcoidosis, vasculitis, Sjögren's syndrome); infective disorders (syphilis, human immunodeficiency virus); and medication-induced causes. Conclusion Rapidly progressive hearing loss should be considered a ‘red flag’ symptom that warrants urgent action. Most causes are systemic or sinister in nature, and the patient's hearing loss can potentially be reversed.

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Section: Resultsmentioning

confidence: 99%

Rapidly progressive hearing loss occurring over weeks: review of differential diagnoses

et al. 2021

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“…[ 1 , 4 - 6 , 17 , 25 , 31 , 32 , 36 , 46 , 49 , 51 , 53 , 54 , 59 ] There are at least 10 reported cases of CMs in the VII/VIII nerve complex (excluding the internal auditory canal CMs), with the main complaint of hearing loss. [ 10 , 30 , 34 , 46 ] In nine confirmed cases, the oculomotor nerve was involved, mainly with diplopia and ptosis as the prominent manifestations. [ 9 , 39 , 46 ] The CMs of the trigeminal nerve were also described in six cases, typically presenting with facial dysesthesia or hyperesthesia.…”

Section: Discussionmentioning

confidence: 99%

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

Samadian

Maroufi

Bakhtevari

et al. 2021

Surgical Neurology International

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Background: Isolated cavernous malformation (CM) of the abducens nerve has not been reported in the literature. Herein, the authors address the clinical importance of these lesions and review the reported cases of CM from 2014 to 2020. Case Description: A 21-year-old man presented with binocular diplopia and headache from 2 months before his admission. The neurological examination revealed right-sided abducens nerve palsy. The brain MRI revealed an extra-axial pontomedullary lesion suggestive of a CM. The lesion was surgically removed. During the operation, the abducens nerve was resected considering the lesion could not be separated from the nerve and an anastomosis was performed using an interposition nerve graft and fibrin glue. Pathological examination of the resected lesion revealed that it was originated from within the nerve. The patient’s condition improved in postoperative follow-ups. Conclusion: Surgical resection of the cranial nerves CMs is appropriate when progressive neurological deficits are present. If the lesion is originated from within the nerve, we suggest resection of the involved nerve and performing anastomosis. Novel MRI sequences might help surgeons to be prepared for such cases and fibrin glue can serve as an appropriate tool to perform anastomosis when end-to-end sutures are impossible to perform.

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Cystic Progression of a Cavernous Malformation at the Level of the Trigeminal Root Entry Zone Presenting With Sudden Onset of Trigeminal Neuralgia

Scavo

Roperto

Cacciotti

et al. 2018

Journal of Craniofacial Surgery

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The authors present a very rare patient of large cystic cavernous malformation at the level of the trigeminal root entry zone presenting with sudden onset of trigeminal neuralgia. Even if it has not established imaging features, a cystic cavernoma of the cerebello-pontine angle may be suspected when a cystic mass is present, not involving the internal acoustic meatus nor the skull base dura mater. Careful microneurosurgical technique and monitoring of cranial nerves allow good long-term results.

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Cavernous hemangioma of the internal auditory canal encasing the VII and VIII cranial nerve complex: case report and review of the literature

Cited by 4 publications

References 35 publications

Rapidly progressive hearing loss occurring over weeks: review of differential diagnoses

Rapidly progressive hearing loss occurring over weeks: review of differential diagnoses

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

Cystic Progression of a Cavernous Malformation at the Level of the Trigeminal Root Entry Zone Presenting With Sudden Onset of Trigeminal Neuralgia

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