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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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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author Simon Claeys
Ingeborg Dhooge
Veroniek Van Driessche
author_facet Simon Claeys
Ingeborg Dhooge
Veroniek Van Driessche
author_sort Simon Claeys
collection DOAJ
description 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.
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publishDate 2025-05-01
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series Journal of the Belgian Society of Radiology
spelling doaj-art-c17cb4fcf0284acca325cbf63cc6c5ad2025-08-20T03:21:07ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812025-05-011091202010.5334/jbsr.39573953A Rare Case of Primary Paraganglioma of the Facial Nerve CanalSimon Claeys0https://orcid.org/0009-0002-1488-3564Ingeborg Dhooge1https://orcid.org/0000-0002-5915-1079Veroniek Van Driessche2https://orcid.org/0000-0003-1129-8183Ghent University Hospital, GhentGhent University Hospital, GhentGhent University Hospital, GhentWe 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.https://account.jbsr.be/index.php/up-j-jbsr/article/view/3957paragangliomafacial canalfacial glomusglomus tumorfacial nerve68ga‑dotatate
spellingShingle Simon Claeys
Ingeborg Dhooge
Veroniek Van Driessche
A Rare Case of Primary Paraganglioma of the Facial Nerve Canal
Journal of the Belgian Society of Radiology
paraganglioma
facial canal
facial glomus
glomus tumor
facial nerve
68ga‑dotatate
title A Rare Case of Primary Paraganglioma of the Facial Nerve Canal
title_full A Rare Case of Primary Paraganglioma of the Facial Nerve Canal
title_fullStr A Rare Case of Primary Paraganglioma of the Facial Nerve Canal
title_full_unstemmed A Rare Case of Primary Paraganglioma of the Facial Nerve Canal
title_short A Rare Case of Primary Paraganglioma of the Facial Nerve Canal
title_sort rare case of primary paraganglioma of the facial nerve canal
topic paraganglioma
facial canal
facial glomus
glomus tumor
facial nerve
68ga‑dotatate
url https://account.jbsr.be/index.php/up-j-jbsr/article/view/3957
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