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Facial palsy after glomus jugulare tumour embolization

Published online by Cambridge University Press:  29 June 2007

Nikolaos Marangos*
Affiliation:
University Department of Otolaryngology, Albert-Ludwigs-University, 79106 Freiburg, Germany.
Martin Schumacher
Affiliation:
The Section of Neuroradiology, Albert-Ludwigs-University, 79106 Freiburg, Germany.
*
Address for correspondence: PD Dr. med. Nikolaos Marangos, ENT-Department, University of Freiburg, Killianstr. 5, 79106 Freiburg, Germany.

Abstract

Facial palsy after pre-operative embolization of glomus tumours is a rare complication. In our case, complete facial palsy occurred within four hours after embolization with polyvinyl alcohol foam. Three days later, embolization material was found in the perineural vessels of the facial nerve in its mastoidal segment. Six months after complete tumour removal, facial decompression with perineural incision, and steroid therapy, facial function recovered completely. In cases of embolization of both stylomastoid and branches of the middle meningeal artery with resorbable material, temporary facial palsy can occur.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1999

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