Ganglion cyst of the temporomandibular joint with intracranial extension in a patient presenting with seventh cranial nerve palsy

Author:

Mumert Michael L.1,Altay Tamer1,Shelton Clough2,Harnsberger H. Ric3,Couldwell William T.1

Affiliation:

1. Department of Neurosurgery,

2. Division of Otolaryngology/Head & Neck Surgery, Department of Surgery; and

3. Department of Radiology, University of Utah, Salt Lake City, Utah

Abstract

Ganglion cysts arising from the temporomandibular joint are rare entities that often present with swelling and minimal to no pain in the preauricular region. To the authors' knowledge, a temporomandibular joint ganglion cyst occurring with acute facial nerve palsy and intracranial extension has never been reported. The patient in the current case initially underwent treatment for Bell palsy and then draining of the cyst at an outside hospital with no relief of symptoms. Repeat MR imaging showed an increase in the size of the cystic, enhancing, middle fossa lesion measuring 4 cm. Resection of the lesion was undertaken using a middle fossa approach. After a satisfactory surgical decompression, the patient demonstrated a significant recovery in her facial palsy over a 3-month period of time. This case presents new clinical and radiographic findings associated with these lesions.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Genetics,Animal Science and Zoology

Cited by 15 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Ganglion cyst of temporomandibular joint – A systematic review;Annals of Diagnostic Pathology;2023-12

2. A nodule in the temporomandibular joint area;Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology;2020-07

3. Ganglion cyst of the temporomandibular joint with intradural extension: case report;Journal of Neurosurgery;2020-03

4. Tumors and Tumor-Like Lesions;MRI of the Temporomandibular Joint;2020

5. A Case of Venous Malformation in Temporomandibular Joint Causing Stenosis of External Auditory Canal;Korean Journal of Otorhinolaryngology-Head and Neck Surgery;2019-05-21

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