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Asymptomatic Schwannoma of the Cochlear Nerve

Authors: John J. Shea; Nobuo Ayani;

Asymptomatic Schwannoma of the Cochlear Nerve

Abstract

During systematic study of temporal bone histopathology at The Deafness Foundation, Memphis, we found an unsuspected small schwannoma arising solely from the cochlear nerve, compressing the facial nerve within the internal auditory canal. The primary temporal bone pathologic finding was bilateral otosclerosis. Compression of the facial nerve by schwannomas of the cochlear nerve is well know to occur at a late stage and produce a lower motor neuron facial paralysis but, in the present case, although the growth of th tumor compressed the facial nerve trunk, no paralysis was noted. Hearing test of the ear associated with the tumor, performed ten months before death, revealed a mixed conductive-sensorineural deafness. Surprisingly, the speech reception threshold was 75 dB, with a speech discrimination score of 70%.

Keywords

Neoplasms, Multiple Primary, Facial Nerve, Otosclerosis, Nerve Compression Syndromes, Humans, Temporal Bone, Cranial Nerve Neoplasms, Female, Cochlear Nerve, Neurilemmoma, Aged

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Found an issue? Give us feedback
citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Average
Top 10%
Average
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