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  • Title: Unilateral congenital facial nerve paralysis secondary to a benign epithelioid peripheral nerve sheath tumor.
    Author: Ondik MP, Preston T, Towfighi J, Isaacson JE.
    Journal: Otol Neurotol; 2007 Dec; 28(8):1091-3. PubMed ID: 18084823.
    Abstract:
    OBJECTIVE: A benign epithelioid peripheral nerve sheath tumor is described in the setting of congenital facial nerve (FN) paralysis. This is the first reported case in the English literature. PATIENT: A 10-month-old girl with unilateral congenital FN paralysis. INTERVENTIONS: Auditory brainstem evoked potential study, gadolinium-enhanced magnetic resonance imaging, temporal bone computed tomography, and transmastoid FN decompression with tumor resection. MAIN OUTCOME MEASURES: Follow-up for tumor recurrence and postoperative FN function. RESULTS: The child underwent a transmastoid FN exploration with resection of a 0.6-cm spherical tumor analyzed to be a benign epithelioid peripheral nerve sheath tumor. There is no evidence of recurrence, and FN function was unchanged at 1 year postoperatively. CONCLUSION: Benign epithelioid peripheral nerve sheath tumor can cause congenital facial nerve palsy.
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