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David B. Wexler, MD; Theodore W. Fetter, MD; Bruce J. Gantz, MD

Arch Otolaryngol Head Neck Surg. 1990;116(4):483-485.

Abstract
• Facial paralysis is an unusual manifestation of vestibular schwannoma, and generally signifies an advanced stage of tumor growth. We describe a case of eighth-nerve schwannoma that presented initially with rapid-onset complete unilateral facial paralysis. At the time of operation the nerve was found to be electrically intact despite marked compression by tumor. The facial nerve was preserved and facial motion has partially recovered post-operatively. All unexplained persistent facial paralysis should be evaluated by magnetic resonance imaging with paramagnetic contrast enhancement.

(Arch Otolaryngol Head Neck Surg. 1990;116:483-485)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City.

Footnotes
Accepted for publication September 19, 1989.

Reprint requests to the Department of Otolaryngology—Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Gantz).

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