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Geniculate Ganglion Tumor Manifesting as Insidious Peripheral Facial Nerve Palsy

The Neurologist: Clinical & Therapeutics Journal
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  • Neurol Clin Therapeut J 2018, Vol 2(1): 1

Geniculate Ganglion Tumor Manifesting as Insidious Peripheral Facial Nerve Palsy

Fernandes EP1, Brooks JBB2*, Prosdócimi FC3, Oliveira RA4, Silveira GL4 and Neto MR5
1UNIMES- Universidade Metropolitana de Santos, Brazil
2Department of Neurology, UNIMES- Universidade Metropolitana de Santos, Brazil
3Department of Structure and Function, UNIMES- Universidade Metropolitana de Santos, Brazil
4Clínica Mega Imagem, Brazil
5Institute of Neurological Sciences, Hospital Beneficencia Portuguesa de Sao Paulo, Brazil
*Corresponding Author: Dr. Brooks JBB, Department of Neurology, Irmandade Santa Casa de Misericórdia de Santos, Avenida Claudio Luiz da Costa 50, CEP 11075-900 Santos, SP, Brazil, Tel: +55 13 32020600, Email: [email protected]

Received: 07-May-2018 / Accepted Date: 14-May-2018 / Published Date: 21-May-2018

Clinical Description

A 20-year-old woman presented with a 9-month history of slowly progressive right peripheral facial nerve palsy. Clinical assessment showed Grade II House-Brackmann right facial nerve palsy [1]. Otoscopy and laboratory examination were normal. History of traumatic brain injury was negative. Magnetic resonance imaging of the brain showed a T1 hypointense, T2 hyperintense and paramagnetic agent enhancement lesion, measuring 1.1 x 0.9 x 0.9 cm, located on the geniculate ganglion topography of the of the right facial nerve (Figure 1). Therapeutic options were discussed with the patient and the wait and- scan strategy was instituted, since she had a near-normal facial nerve function [2]. Attention to this clinical–radiologic correlation may help physicians make correct diagnoses.

neurologist-clinical-therapeutics-right-facial-nerve

Figure 1: Geniculate ganglion tumor of the right facial nerve. A) Coronal (left) and B) Axial (right) Brain MRI T1 post contrast showing a paramagnetic agent enhancement lesion, measuring 1.1 × 0.9 × 0.9 cm, located on the topography of the geniculate ganglion of the right facial nerve (arrow).

References

Citation: Fernandes EP, Brooks JBB, Prosdócimi FC, Oliveira RA, Silveira GL, et al. (2018) Geniculate Ganglion Tumor Manifesting as Insidious Peripheral Facial Nerve Palsy. Neurol Clin Therapeut J 2: 107.

Copyright: © 2018 Fernandes EP, et al. This is an open-access article distributed under the erms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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