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Year : 2020  |  Volume : 26  |  Issue : 1  |  Page : 51-53

Prominent auditory and balance disturbances in a patient with trigeminal nerve schwannoma

1 Audiology and Speech Pathology Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
2 Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia

Correspondence Address:
Dr. Rosdan Salim
Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/indianjotol.INDIANJOTOL_80_19

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Trigeminal nerve schwannoma, a rare type of schwannoma, can be challenging to be diagnosed. Its initial clinical presentations may be subtle in nature but could deteriorate rapidly once the mass is large enough to compress the surrounding nerves. In this article, we report a case of a 55-year-old Malay female who complained of only numbness (without other symptoms) during her visit in the year 2014. As such, the otological findings were unremarkable. In the year 2017, her condition was worsening to the extent that she was not able to walk or stand independently and her hearing had dropped to a profound level in the right side. Low gain on the anterior and lateral right semicircular canals was found in video head impulse test, suggesting the hypofunction of the right semicircular system. The magnetic resonance imaging was carried out, and the presence of mass at the trigeminal nerve was confirmed. It is important to highlight that the auditory and balance can be prominently affected in trigeminal nerve schwannoma. Audiological and vestibular assessments are important to complement the diagnosis and prognosis of the patient.

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