Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature

Rauf Ahmed; Owais Makhdoomi; Omar Mohammad Shafi; Faheem Khalid

doi:doi:10.11648/j.cnn.20190301.11

| Peer-Reviewed

Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature

Rauf Ahmed, Owais Makhdoomi, Omar Mohammad Shafi, Faheem Khalid

Published in Clinical Neurology and Neuroscience (Volume 3, Issue 1)

Received: 9 January 2019 Accepted: 1 April 2019 Published: 11 May 2019

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petrosphenoidal fissure and ICA anteriorly, and the posterior cranial fossa behind. Given its location, the petrous apex is susceptible to multiple pathologic processes which may be Inflammatory, developmental, vascular, benign and malignant lesions. We present a rare case of a 39 year old Male who presented wit unilateral facial nerve palsy and sensoneural hearing loss and was then diagnosed as petrous apex Cholesteatoma. Patient was treated surgically by Transchoclear trasnlabrynth technique.

Published in	Clinical Neurology and Neuroscience (Volume 3, Issue 1)
DOI	10.11648/j.cnn.20190301.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cholesteatoma, Facial Nerve Palsy, Petrous Apex

References

[1]	Torun F, Taficiolu A, Tuna H. Primary petrous apex Cholestetoma: A case report. Turk Neurosurg 2004; 14: 28‑32.
[2]	Connor SE, Leung R, Natas S (2008) Imaging of the petrous apex: a pictorial view Br J Radiol 81: 427-435.
[3]	Pisaneschi MJ, Langer B. Congenital Cholesteatoma and cholesterol granuloma of the temporal bone: role of magnetic resonance imaging. Top Magn ResonImaging 2000; 11: 87–97.
[4]	Pandya Y, Piccirilo E, Mancini F, Sanna M (2010) Management of complex cases of petrous bone Cholestetoma. Ann Otol Rhinol Laryngol 119 (8) 5d 14-525.
[5]	Achilli V, Danesi G, Caverni L, Richichi M. Petrous apex arachnoid cyst: A case report and review of the literature. Acta Otorhinolaryngol Ital 2005; 25: 296‑300.
[6]	Mete I, Sebla C, Ahmet K. Petrous Bone Cholesteatoma: Classification, Management and Review of the Literature. Glob J Oto, 2018; 16(4): 555945.
[7]	Komune S, Nakagawa T, Haruta A, Matsuda K, Tono T. Management of cholesteatoma in the petrous apex. Skull Base Surg 2000; 10: 47‑51.
[8]	Danesi G, Cooper T, Panciera DT, Manni V, Cote DW (2016) Sanna classification and prognosis of cholesteatoma of the petrous part of the temporal bone: A retrospective series of 81 patients. Otol Neurotol 37(6): 787-792.
[9]	Sanna M, Pandya Y, Mancini F, Sequino G, Piccirillo E (2011) Petrous bone cholesteatoma: classification, management and review of the literature. Audiol Neurotol 16(2): 124-136.
[10]	Kim MJ, An YS, Jang MS, Cho YS, Chung JW (2014) Hearing and facial function after surgical removal of cholesteatomas involving petrous bone. Clin Exp Otorhinolaryngol 7(4): 264-268.
[11]	F. Banaz, I. Edem, D. Moldovan, S. Kilty, G. Jansen, F. Alkherayf: Chondrosarcoma in Petrous Apex: Case Report and Review. J Neurol Surg Rep. 2018 Oct; 79(4): PMC6193802.
[12]	Raghavan D, Thomas C. Lee, and Hugh D: Cholesterol Granuloma of the Petrous Apex: A 5-Year Review of Radiology Reports with Follow-Up of Progression and Treatment: J Neurol Surg B Skull Base. 2015 Aug; 76(4): 266–271.

Cite This Article

Plain Text BibTeX RIS

APA Style

Rauf Ahmed, Owais Makhdoomi, Omar Mohammad Shafi, Faheem Khalid. (2019). Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature. Clinical Neurology and Neuroscience, 3(1), 1-5. https://doi.org/10.11648/j.cnn.20190301.11

Copy | Download

ACS Style

Rauf Ahmed; Owais Makhdoomi; Omar Mohammad Shafi; Faheem Khalid. Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature. Clin. Neurol. Neurosci. 2019, 3(1), 1-5. doi: 10.11648/j.cnn.20190301.11

Copy | Download

AMA Style

Rauf Ahmed, Owais Makhdoomi, Omar Mohammad Shafi, Faheem Khalid. Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature. Clin Neurol Neurosci. 2019;3(1):1-5. doi: 10.11648/j.cnn.20190301.11

Copy | Download

@article{10.11648/j.cnn.20190301.11,
  author = {Rauf Ahmed and Owais Makhdoomi and Omar Mohammad Shafi and Faheem Khalid},
  title = {Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.cnn.20190301.11},
  url = {https://doi.org/10.11648/j.cnn.20190301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190301.11},
  abstract = {The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petrosphenoidal fissure and ICA anteriorly, and the posterior cranial fossa behind. Given its location, the petrous apex is susceptible to multiple pathologic processes which may be Inflammatory, developmental, vascular, benign and malignant lesions. We present a rare case of a 39 year old Male who presented wit unilateral facial nerve palsy and sensoneural hearing loss and was then diagnosed as petrous apex Cholesteatoma. Patient was treated surgically by Transchoclear trasnlabrynth technique.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature
AU  - Rauf Ahmed
AU  - Owais Makhdoomi
AU  - Omar Mohammad Shafi
AU  - Faheem Khalid
Y1  - 2019/05/11
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190301.11
DO  - 10.11648/j.cnn.20190301.11
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190301.11
AB  - The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petrosphenoidal fissure and ICA anteriorly, and the posterior cranial fossa behind. Given its location, the petrous apex is susceptible to multiple pathologic processes which may be Inflammatory, developmental, vascular, benign and malignant lesions. We present a rare case of a 39 year old Male who presented wit unilateral facial nerve palsy and sensoneural hearing loss and was then diagnosed as petrous apex Cholesteatoma. Patient was treated surgically by Transchoclear trasnlabrynth technique.
VL  - 3
IS  - 1
ER  -

Copy | Download

Author Information

Rauf Ahmed

Department of ENT and HNS, Government Medical College, Srinagar Jammu & Kashmir, India
Owais Makhdoomi

Department of ENT and HNS, Government Medical College, Srinagar Jammu & Kashmir, India
Omar Mohammad Shafi

Department of ENT and HNS, Government Medical College, Srinagar Jammu & Kashmir, India
Faheem Khalid

Department of ENT and HNS, Government Medical College, Srinagar Jammu & Kashmir, India

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Rauf Ahmed, Owais Makhdoomi, Omar Mohammad Shafi, Faheem Khalid. (2019). Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature. Clinical Neurology and Neuroscience, 3(1), 1-5. https://doi.org/10.11648/j.cnn.20190301.11

Copy | Download

ACS Style

Rauf Ahmed; Owais Makhdoomi; Omar Mohammad Shafi; Faheem Khalid. Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature. Clin. Neurol. Neurosci. 2019, 3(1), 1-5. doi: 10.11648/j.cnn.20190301.11

Copy | Download

AMA Style

Rauf Ahmed, Owais Makhdoomi, Omar Mohammad Shafi, Faheem Khalid. Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature. Clin Neurol Neurosci. 2019;3(1):1-5. doi: 10.11648/j.cnn.20190301.11

Copy | Download

@article{10.11648/j.cnn.20190301.11,
  author = {Rauf Ahmed and Owais Makhdoomi and Omar Mohammad Shafi and Faheem Khalid},
  title = {Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.cnn.20190301.11},
  url = {https://doi.org/10.11648/j.cnn.20190301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190301.11},
  abstract = {The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petrosphenoidal fissure and ICA anteriorly, and the posterior cranial fossa behind. Given its location, the petrous apex is susceptible to multiple pathologic processes which may be Inflammatory, developmental, vascular, benign and malignant lesions. We present a rare case of a 39 year old Male who presented wit unilateral facial nerve palsy and sensoneural hearing loss and was then diagnosed as petrous apex Cholesteatoma. Patient was treated surgically by Transchoclear trasnlabrynth technique.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature
AU  - Rauf Ahmed
AU  - Owais Makhdoomi
AU  - Omar Mohammad Shafi
AU  - Faheem Khalid
Y1  - 2019/05/11
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190301.11
DO  - 10.11648/j.cnn.20190301.11
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190301.11
AB  - The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petrosphenoidal fissure and ICA anteriorly, and the posterior cranial fossa behind. Given its location, the petrous apex is susceptible to multiple pathologic processes which may be Inflammatory, developmental, vascular, benign and malignant lesions. We present a rare case of a 39 year old Male who presented wit unilateral facial nerve palsy and sensoneural hearing loss and was then diagnosed as petrous apex Cholesteatoma. Patient was treated surgically by Transchoclear trasnlabrynth technique.
VL  - 3
IS  - 1
ER  -

Copy | Download