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

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

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    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

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    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

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  • @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}
    }
    

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    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.
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Author Information
  • Department of ENT and HNS, Government Medical College, Srinagar Jammu & Kashmir, India

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

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

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

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