Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-24T12:48:25.047Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Djindjian, R., Merland, J. J. (1978) Super-selective Arteriography of the External Carotid artery Springer Verlag, Berlin, pp 14123.CrossRefGoogle Scholar
Fisch, U., Mattox, D. (1988) Microsurgery of the Skull Base, Thieme Verlag, Stuttgart-New York, pp 149153.Google Scholar
Herdman, R. C. D., Gillespie, J. E., Ramsden, R. T. (1993) Facial palsy after glomus tumour embolization. Journal of Laryngology and Otology 107: 963966.CrossRefGoogle ScholarPubMed
Lasjaunias, P., Bernstein, A. (1987a) Surgical Neuroangiography, Vol. 1, Springer Verlag, Berlin, p 226.Google Scholar
Lasjaunias, P., Bernstein, A. (1987b) Surgical Neuroangiography. Vol. 2, Springer Verlag, Berlin, p 28.Google Scholar
Murphy, T. P., Brackmann, D. E. (1988) Effects of preoperative embolization on glomus jugulare tumours. Laryngoscope 99: 12441247.Google Scholar
Russel, E. J. (1986) Functional angiography of the head and neck. American Journal of Neuroradiology 7: 927936.Google Scholar
Takeda, T., Takeda, S., Kozakura, K., Saito, H. (1997) Intratemporal facial nerve blood flow in guinea pigs. American Journal of Otology 18: 252256.Google Scholar
Young, N. M., Wiet, R. J., Russel, E. J., Monsell, E. M. (1988) Superselective embolization of glomus jugulare tumours. Annals of Otology, Rhinology and Laryngology 97: 613620.Google Scholar
Valavanis, A. (1986) Pre-operative embolization of the head and neck: indications, patient selection, goals and precautions. American Journal of Neuroradiology 7: 943952.Google Scholar
Valavanis, A. (1988) Interventional neuroradiology of skull base tumours. In Microsurgery of the Skull Base (Fisch, U., Mattox, D., eds.), Thieme Verlag, Stuttgart-New York, pp 634649.Google Scholar