A Rare Case of Primary Paraganglioma of the Facial Nerve Canal

We report the case of a 54‑year‑old woman with 3‑year‑history of right facial paralysis. Computed tomography (CT) and magnetic resonance imaging (MRI) findings were highly suggestive of a primary paraganglioma (PGL) of the facial nerve canal (FNC). 68Ga‑DOTATATE positron emission tomography (PET)/CT...

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Bibliographic Details
Main Authors: Simon Claeys, Ingeborg Dhooge, Veroniek Van Driessche
Format: Article
Language:English
Published: Ubiquity Press 2025-05-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://account.jbsr.be/index.php/up-j-jbsr/article/view/3957
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Summary:We report the case of a 54‑year‑old woman with 3‑year‑history of right facial paralysis. Computed tomography (CT) and magnetic resonance imaging (MRI) findings were highly suggestive of a primary paraganglioma (PGL) of the facial nerve canal (FNC). 68Ga‑DOTATATE positron emission tomography (PET)/CT confirmed the neuroendocrine nature of the tumor. Teaching point: The combined imaging findings of permeative bone destruction, rapid wash‑in and wash‑out perfusion, and 68Ga‑DOTATATE tracer uptake in a lesion arising from the mastoid segment of the FNC are diagnostic of a primary PGL of the FNC and may obviate the need for histological confirmation.
ISSN:2514-8281