Document Detail


Correlation of facial nerve paresis and histopathological type of vestibular schwannoma.
MedLine Citation:
PMID:  14977254     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of the study was to evaluate the dependence of facial nerve paresis, as a symptom of cerebellopontine angle tumour, on the histopathological subtype of vestibular schwannoma, diagnosed from a post-operative histopathological examination. We retrospectively analysed 91 surgically treated patients with vestibular schwannoma. We studied the histopathological subtype and the preoperative condition of the facial nerve. The following WHO 2000 subtypes were distinguished: neurinoma cellular (51 cases), neurinoma conventional (23 cases), neurinoma ancient (11 cases), (other types: 2 neurofibroma and 2 ganglioneuroma). We analysed the dependence of facial nerve paresis on the histological subtype of tumours and their sizes. The analysis was based on the traditional classification: Antoni A (11 cases), Antoni B (12 cases) Antoni A/B (23 cases) and Antoni B/A (40 cases). 30 patients (30%) in the analysed group had paresis of the facial nerve preoperatively. Preoperative facial paresis occurred frequently in subtypes "cellular" and Antoni B, and rarely in subtypes conventional and Antoni A and B/A. In the small tumour cases (up to 20 mm), facial nerve paresis occurred frequently in subtypes cellular and conventional, as well as in Antoni A and A/B.
Authors:
Stanisław J Kwiek; Grazyna Bierzyńska-Macyszyn; Jerzy Luszawski; Paweł Właszczuk; Joanna Lewin-Kowalik; Adam Wolwender; Piotr Bazowski; Tomasz Wójcikiewicz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Folia neuropathologica / Association of Polish Neuropathologists and Medical Research Centre, Polish Academy of Sciences     Volume:  41     ISSN:  1641-4640     ISO Abbreviation:  Folia Neuropathol     Publication Date:  2003  
Date Detail:
Created Date:  2004-02-23     Completed Date:  2004-03-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9437431     Medline TA:  Folia Neuropathol     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  237-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Medical University of Silesia, Katowice, Poland. skwiek@csk.katowice.pl
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MeSH Terms
Descriptor/Qualifier:
Facial Nerve / pathology
Facial Paralysis / etiology*
Humans
Neuroma, Acoustic / complications*,  pathology*
Retrospective Studies

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