Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지
DOI QR코드

DOI QR Code

Vestibular Schwannoma Presenting with Orofacial Dysesthesia: A Case Report

  • Park, In Hee (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Kim, Seurin (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Park, Youn-Jung (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Ahn, Hyung-Joon (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Kim, Seong-Taek (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Choi, Jong-Hoon (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Kwon, Jeong-Seung (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry)
  • Received : 2019.07.23
  • Accepted : 2019.08.09
  • Published : 2019.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Vestibular schwannoma, also known as acoustic neuroma, is a rare benign brainstem tumor surrounding the vestibular division of the 8th cranial nerve. The presenting symptoms are hearing loss, tinnitus, and dizziness. Unabated growth can compress 5th (trigeminal nerve) and 7th (facial nerve) cranial nerve, which can cause nerve dysfunction such as orofacial pain, sensory abnormalities, or trigeminal neuralgia. We report a 51-year-old woman who presented with orofacial dysesthesia on her left side of the face with abnormal findings on 5th cranial nerve and 8th (vestibulocochlear nerve) cranial nerve examination. Brain magnetic resonance imaging scan revealed cerebellopontine angle tumor. She was referred to a neurosurgeon and diagnosed with vestibular schwannoma.

Keywords

References

  1. Lam R. Acoustic neuroma manifesting as toothache and numbness. Aust Dent J 2016;61:109-112. https://doi.org/10.1111/adj.12302
  2. Harner SG, Laws ER Jr. Clinical findings in patients with acoustic neurinoma. Mayo Clin Proc 1983;58:721-728.
  3. Valvassori GE. Cerebellopontine angle tumors. Otolaryngol Clin North Am 1988;21:337-348. https://doi.org/10.1016/S0030-6665(20)31542-5
  4. Agarwal A. Intracranial trigeminal schwannoma. Neuroradiol J 2015;28:36-41. https://doi.org/10.15274/NRJ-2014-10117
  5. Perusse R. Acoustic neuroma presenting as orofacial anesthesia. Int J Oral Maxillofac Surg 1994;23:156-160. https://doi.org/10.1016/S0901-5027(05)80291-7
  6. Ferguson JW, Burton JF. Clinical presentation of acoustic nerve neuroma in the oral and maxillofacial region. Oral Surg Oral Med Oral Pathol 1990;69:672-675. https://doi.org/10.1016/0030-4220(90)90345-S
  7. Matthies C, Samii M. Management of 1000 vestibular schwannomas (acoustic neuromas): clinical presentation. Neurosurgery 1997;40:1-9; discussion 9-10. https://doi.org/10.1227/00006123-199701000-00001
  8. Matsuka Y, Fort ET, Merrill RL. Trigeminal neuralgia due to an acoustic neuroma in the cerebellopontine angle. J Orofac Pain 2000;14:147-151.
  9. Selesnick SH, Jackler RK, Pitts LW. The changing clinical presentation of acoustic tumors in the MRI era. Laryngoscope 1993; 103(4 Pt 1):431-436. https://doi.org/10.1002/lary.5541030412
  10. Mathew GD, Facer GW, Suh KW, Houser OW, O'Brien PC. Symptoms, findings, and methods of diagnosis in patients with acoustic neuroma. Laryngoscope 1978;88:1893-1903, 1921.
  11. Kanzaki J, Ogawa K, Ikeda S. Changes in clinical features of acoustic neuroma. Acta Otolaryngol Suppl 1991;487:120-124. https://doi.org/10.3109/00016489109130456