Diagnostic Paradox behind Facial Nerve Schwannoma
Because postoperative facial function is usually poor in these patients, some authors advocate a policy of close follow up with serial MRI. We reported a case of year-old male with progressive right sided facial asymmetry, sudden onset hearing loss and non-pulsatile tinnitus in right ear. Hearing loss and tinnitus are common among patients with facial nerve schwannomas.
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Multiple radiological patterns have been reported but none of them are pathognomonic. For patients with mild or no facial dysfunction, a conservative attitude with observation is preferred. Hyper-cellular areas Antoni A are composed of spindle shaped cells arranged in interlacing fascicles having a comma shaped nucleus with pointed ends and scanty cytoplasm.