耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
一側顔面神経麻痺を繰り返した橋海綿状血管腫例
福嶋 宗久宮口 衛神原 留美佐々木 崇博
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2008 年 101 巻 10 号 p. 771-775

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We report a case of unilateral recurrent facial paralysis caused by cavernous hemangioma of the pons. The patient was a 38-year-old woman suffering from mild right facial paralysis. Initially, she was diagnosed as having Bell's paralysis, treated with peroral steroids, and it improved. After half a year, right facial palsy appeared again, and the patient presented with acute hearing loss of the right ear after several days. Furthermore, MRI identified hemangioma of the pons in the region of the right facial nerve nucleus. We concluded that this recurrent facial nerve paralysis was caused by repeat hemorrhage from the hemangioma. It is concluded that central impairment should be a criterion when diagnosing unilateral recurrent facial paralysis.
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