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Aetiology of delayed facial palsy after vestibular schwannoma surgery: clinical data and hypothesis
A patient developed delayed facial nerve palsy at the level of House-Brackmann grade I to grade III 10 days after vestibular schwannoma surgery by the suboccipital transmeatal approach. The palsy had completely recovered after one month. Immunological study showed reactivation of herpes simplex and...
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| Published in: | Acta neurochirurgica 1998-01, Vol.140 (9), p.913-917 |
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| Main Authors: | , , , , , , , |
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| container_end_page | 917 |
| container_issue | 9 |
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| container_title | Acta neurochirurgica |
| container_volume | 140 |
| creator | Ohata, K Nunta-aree, S Morino, M Tsuyuguchi, N Haque, M Inoue, Y Ogura, H Hakuba, A |
| description | A patient developed delayed facial nerve palsy at the level of House-Brackmann grade I to grade III 10 days after vestibular schwannoma surgery by the suboccipital transmeatal approach. The palsy had completely recovered after one month. Immunological study showed reactivation of herpes simplex and magnetic resonance (MR) imaging demonstrated an abnormal enhancement pattern of the facial nerve; intense enhancement of the distal intracanalicular segment and labyrinthine segment, similar to the MR findings for Bell's palsy. A prospective control study on the enhancement pattern of the functionally preserved facial nerve after vestibular schwannoma surgery in six cases showed a similar pattern to that of the normal facial nerve. Based on these findings, we propose the hypothesis that herpes simplex reactivation is an underlying cause of delayed facial palsy after vestibular schwannoma surgery. |
| doi_str_mv | 10.1007/s007010050193 |
| format | article |
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The palsy had completely recovered after one month. Immunological study showed reactivation of herpes simplex and magnetic resonance (MR) imaging demonstrated an abnormal enhancement pattern of the facial nerve; intense enhancement of the distal intracanalicular segment and labyrinthine segment, similar to the MR findings for Bell's palsy. A prospective control study on the enhancement pattern of the functionally preserved facial nerve after vestibular schwannoma surgery in six cases showed a similar pattern to that of the normal facial nerve. Based on these findings, we propose the hypothesis that herpes simplex reactivation is an underlying cause of delayed facial palsy after vestibular schwannoma surgery.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s007010050193</identifier><identifier>PMID: 9842428</identifier><language>eng</language><publisher>Austria: Springer Nature B.V</publisher><subject>Facial Nerve - pathology ; Facial Nerve Diseases - complications ; Facial Nerve Diseases - diagnosis ; Facial Paralysis - diagnosis ; Facial Paralysis - etiology ; Female ; Herpes Simplex - complications ; Herpes Simplex - diagnosis ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Neuroma, Acoustic - surgery ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Recurrence ; Surgery ; Virus Activation</subject><ispartof>Acta neurochirurgica, 1998-01, Vol.140 (9), p.913-917</ispartof><rights>Springer-Verlag Wien 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-c11f3cdbd70e2120029556db68a007f8dd68e1046854eef004a096191f58b69a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9842428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ohata, K</creatorcontrib><creatorcontrib>Nunta-aree, S</creatorcontrib><creatorcontrib>Morino, M</creatorcontrib><creatorcontrib>Tsuyuguchi, N</creatorcontrib><creatorcontrib>Haque, M</creatorcontrib><creatorcontrib>Inoue, Y</creatorcontrib><creatorcontrib>Ogura, H</creatorcontrib><creatorcontrib>Hakuba, A</creatorcontrib><title>Aetiology of delayed facial palsy after vestibular schwannoma surgery: clinical data and hypothesis</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>A patient developed delayed facial nerve palsy at the level of House-Brackmann grade I to grade III 10 days after vestibular schwannoma surgery by the suboccipital transmeatal approach. 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Based on these findings, we propose the hypothesis that herpes simplex reactivation is an underlying cause of delayed facial palsy after vestibular schwannoma surgery.</description><subject>Facial Nerve - pathology</subject><subject>Facial Nerve Diseases - complications</subject><subject>Facial Nerve Diseases - diagnosis</subject><subject>Facial Paralysis - diagnosis</subject><subject>Facial Paralysis - etiology</subject><subject>Female</subject><subject>Herpes Simplex - complications</subject><subject>Herpes Simplex - diagnosis</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Neuroma, Acoustic - surgery</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Recurrence</subject><subject>Surgery</subject><subject>Virus Activation</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNp9kctLxDAQxoMovo8eheBBT9VJmqaJt0V8wYIXPZc0j90ubbMmrdL_3sgugh68zAN-8zEzH0JnBK4JQHkTU4BUFUBkvoMOQTKapQC7qQYgGadcHKCjGFepoyXL99G-FIwyKg6Rntmh8a1fTNg7bGyrJmuwU7pRLV6rNk5YucEG_GHj0NRjqwKOevmp-t53CscxLGyYbrFum77RacaoQWHVG7yc1n5Y2tjEE7TnkpI93eZj9PZw_3r3lM1fHp_vZvNM56wcMk2Iy7WpTQmWEgpAZVFwU3Oh0olOGMOFJcC4KJi1DoApkJxI4gpRc6nyY3S10V0H_z6mfauuidq2reqtH2MlCfCCl1wm8vJf8vuhjFOSwIs_4MqPoU9XVEIwQcpC5AnKNpAOPsZgXbUOTafCVBGovj2qfnmU-POt6Fh31vzQW1PyL2Gni0s</recordid><startdate>19980101</startdate><enddate>19980101</enddate><creator>Ohata, K</creator><creator>Nunta-aree, S</creator><creator>Morino, M</creator><creator>Tsuyuguchi, N</creator><creator>Haque, M</creator><creator>Inoue, Y</creator><creator>Ogura, H</creator><creator>Hakuba, A</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>19980101</creationdate><title>Aetiology of delayed facial palsy after vestibular schwannoma surgery: clinical data and hypothesis</title><author>Ohata, K ; 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| ispartof | Acta neurochirurgica, 1998-01, Vol.140 (9), p.913-917 |
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| source | Springer Nature |
| subjects | Facial Nerve - pathology Facial Nerve Diseases - complications Facial Nerve Diseases - diagnosis Facial Paralysis - diagnosis Facial Paralysis - etiology Female Herpes Simplex - complications Herpes Simplex - diagnosis Humans Magnetic Resonance Imaging Middle Aged Neuroma, Acoustic - surgery Postoperative Complications - diagnosis Postoperative Complications - etiology Recurrence Surgery Virus Activation |
| title | Aetiology of delayed facial palsy after vestibular schwannoma surgery: clinical data and hypothesis |
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