Vestibular schwannomas are the most common cerebellopontine angle tumors. These tumors commonly present with ipsilateral dysfunction of acoustic, vestibular, trigeminal, and facial nerves.1 Presentation of the vestibular schwannoma with contralateral facial nerve dysfunction is quite uncommon, and the contralateral facial paresis has been mentioned as a false localizing sign for posterior fossa...

OBJECTIVE AND BACKGROUND Morton's neuroma is essentially a benign tumor in the foot, which may cause extreme pain and disability. Both conservative and surgical modalities have been used, but as yet, neither has been successful in resolving the condition. This report introduces Functional Fascial Taping (FFT) developed by Alexander, as a new treatment regime and examines its effectiveness in th...

Surgical treatment of vestibular schwannoma is targeted at complete removal with preserved neurological function. Complete removal may cause significant deficits, whereas subtotal tumor removal is associated with a high recurrence rate. The present study assessed the risk of tumor recurrence and postoperative facial nerve function in relation to the extent of surgical resection by reviewing the...

The author studied anatomical variations of the origin of the chorda tympani nerve from the mastoid portion of the facial nerve. The studies were performed on 200 specimens of human temporal bone. It was found that the chorda tympani may arise from the facial nerve in three levels: most commonly from the mid third of its mastoid segment (70%), less commonly from the proximal third (20%), an...

The subsequent edema can lead to fibrosis, which increases further pressure on the nerve, leading to a progressive deterioration of the nerve. In addition to the mechanical effects, an increase in connective tissue has been hypothesized to cause secondary changes in the mechanical sensitivity of the thin afferent fibers responsible for pain. Finally, compression may also produce local intraneur...

Introduction: Acute facial nerve palsy secondary to neuroendocrine adenoma of the middle ear (NAME) is a rare disorder. There is only one case report in the literature describing similar findings.   Case Report: A 50-year-old man initially presented to ENT clinic with a right-sided middle ear mass and normal facial nerve function. Over the next six days,...

To estimate the duration of postoperative headache after surgery for acoustic neuroma and the effects of age, sex, tumor size, extent of tumor resection, type of skin incision, surgical duration, hearing preservation, and postoperative facial nerve palsy. This retrospective review analyzed clinical data from 97 patients who had undergone surgery for unilateral acoustic neuroma via the retrosigm...

Background: CT examination has helped in early diagnosis, accurate localisation and planning of treatment of temporal bone disease and abnormalities. The aim of the present study is to study the normal anatomical perspective and congenital lesions of temporal bone and to see the accuracy of CT in detecting intra-canalicular space occupying lesion. Methods: This prospective and observational stu...

Introduction: Varicella-zoster virus may cause an infectious disease called Ramsay Hunt syndrome. The related symptoms include facial nerve palsy (FNP), otalgia, the vesicular eruptions of the auricle and external auditory canal, less common ocular movement disorder, facial hypoesthesia, myofascial pain, vestibular symptoms, hearing loss, dysphasia, vocal cord paralysis, as well as tongue paral...

Acoutic neuromas operated at UMMC from 2001 to 2006 were retrospectively reviewed. There were a total of 27 cases. All tumors were large, measuring more than 2 cm. Hearing loss was the most common presenting symptom (63%), followed by headache (52%), dysequilibrium (30%), facial numbness (30%), tinnitus (26%) and gait disturbances (15%). Eleven (41%) of patients had hydrocephalus at the time of...