Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature
Clinical Neurology and Neuroscience
Volume 3, Issue 1, March 2019, Pages: 1-5
Received: Jan. 9, 2019;
Accepted: Apr. 1, 2019;
Published: May 11, 2019
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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
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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.
Cholesteatoma, Facial Nerve Palsy, Petrous Apex
To cite this article
Omar Mohammad Shafi,
Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature, Clinical Neurology and Neuroscience.
Vol. 3, No. 1,
2019, pp. 1-5.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Torun F, Taficiolu A, Tuna H. Primary petrous apex Cholestetoma: A case report. Turk Neurosurg 2004; 14: 28‑32.
Connor SE, Leung R, Natas S (2008) Imaging of the petrous apex: a pictorial view Br J Radiol 81: 427-435.
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.
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.
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.
Mete I, Sebla C, Ahmet K. Petrous Bone Cholesteatoma: Classification, Management and Review of the Literature. Glob J Oto, 2018; 16(4): 555945.
Komune S, Nakagawa T, Haruta A, Matsuda K, Tono T. Management of cholesteatoma in the petrous apex. Skull Base Surg 2000; 10: 47‑51.
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.
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.
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.
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.
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.