Abstract

IntroductionSchwannoma arising from the glossopharyngeal nerve is a rare intracranial tumor. Fewer than 40 cases have been reported. Accurate pre-operative diagnosis and optimal treatment are still difficult.Case presentationWe present one case of schwannoma originating from the ninth cranial nerve with palsies of the trigeminal nerve, facial-acoustic nerve complex, and vagus nerve in addition to ninth nerve dysfunction. Magnetic resonance imaging showed tumors located in the cerebellopontine angle with extracranial extension via the jugular foramen, with evident enhancement on post-contrast scan. Surgical management single-staged with the help of gamma knife radiosurgery achieved total removal.ConclusionGlossopharyngeal schwannoma is devoid of clinical symptoms and neurological signs. High resolution magnetic resonance imaging may play a key role as an accurate diagnostic tool. A favorable option of approach and appropriate planning of surgical strategy should be the goal of operation for this benign tumor.

Highlights

  • Schwannoma arising from the glossopharyngeal nerve is a rare intracranial tumor

  • Glossopharyngeal schwannoma is devoid of clinical symptoms and neurological signs

  • High resolution magnetic resonance imaging may play a key role as an accurate diagnostic tool

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Summary

Conclusion

The differential diagnosis of glossopharyngeal schwannoma is still very difficult, because specific clinical symptoms and radiological findings can be absent in most cases. Extensive pre-operative evaluation and appropriate planning of the surgical approach, as well as using innovative therapeutic strategies, glossopharyngeal schwannoma can be radically and safely resected without creating additional neurological deficits and other complications. Recovery of cranial nerve dysfunction can be expected. Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal

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