Hemangioma of the temporal bone in a patient presumed to have Ménière's syndrome.
This case report describes a patient with a facial nerve hemangioma of 8 years' duration that initially caused most of the symptoms of Ménière's syndrome: fullness, sensorineural hearing loss, dizziness, tinnitus, and disruption of balance. The hearing loss was in the high-frequency range (> or = 3,000 Hz); typically, the initial hearing loss in Ménière's syndrome is in the low-frequency range. Mild facial nerve weakness and punctate keratitis due to corneal exposure appeared 8 years later. Contrast-enhanced magnetic resonance imaging and high-resolution computed tomography depicted the lesion and made preoperative diagnosis possible. With meticulous surgical removal of the tumor, which was intertwined with the facial nerve, facial nerve function was preserved.
Burton
L
L
Department of Radiology, Medical College of Georgia, Augusta 30912-3900, USA.
Burton
E M
EM
Welling
D B
DB
Marks
S D
SD
Binet
E F
EF
D003390:Cranial Nerve Neoplasms / Q000175:diagnosis*; D003951:Diagnostic Errors; D005260:Female; D005830:Geniculate Ganglion; D006391:Hemangioma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008575:Meniere Disease / Q000175:diagnosis*; D008875:Middle Aged; D012888:Skull Neoplasms / Q000175:diagnosis*; D013701:Temporal Bone; D014057:Tomography, X-Ray Computed