Learning objectives
· To describe with imaging, the normal anatomical course of facial nerve
· To describe the common pathological signs on MRI or HRCT
Background
The facial nerve is a mixed cranial nerve with motor, parasympathetic, and sensory branches.
Course of Facial nerve
The intraaxial segment is located within the brainstem and consists of the motor nucleus, superior salivary nucleus (parasympathetic), and nucleus of tractus solitarius (sensory).
The cisternal segment consists of the motor root and nervus intermedius (nerve of Wrisberg). Both the motor root of the facial nerve and the nervus intermedius(nerve of Wrisberg) leave the brainstem near the dorsal pons at the pontomedullary junction (the cisternal segment of...
Findings and procedure details
PATHOLOGIES AFFECTING FACIAL NERVE
Oval window stenosis/atresia
The intimate relationship between formation of the oval window and development of the stapes footplate, horizontal segment of the facial nerve canal, and vestibular portion of the otic capsule results in commonly associated anomalies, including facial nerve malposition and incus and stapes malformations.
Facial nerve schwannoma(FNS).
FNSs usually involve more than one segment of the FN. Like schwannomas occurring elsewhere, FNSs are typically fusiform solid tumors with well-circumscribed smooth margins. They usually grow along the path of least...
Conclusion
Imaging of facial nerve and comparing variations with the normal anatomical course helps in a great deal in identifying lesions along its course. Depending on the segment to be visualized CT and MRI have complimentary roles in identifying facial nerve pathology.
Personal information and conflict of interest
Dr. I . Gurubharath MD Ph.D
Professor & HOD Department of Radiodiagnosis
Velammal Medical College Hospital & Research Institute
Velammal,Madurai
Tamil Nadu – 625009, India.
E-mail:
[email protected]
Dr. Fraser Gomes
Postgraduate resident
Department of Radiodiagnosis
Shri Sathya Sai Medical College and Research Institute
Chennai, Tamil Nadu – 603108
India
E-mail:
[email protected]
Dr. Harshavardhan Balaganesan
Senior resident
Department of Radiodiagnosis
Shri Sathya Sai Medical College and Research Institute
Chennai, Tamil Nadu – 603108
India
E-mail:
[email protected]
References
1.Toulgoat, F., Sarrazin, J. L., Benoudiba, F., Pereon, Y., Auffray-Calvier, E., Daumas-Duport, B.,Desal, H. A. (2013).Facial nerve: From anatomy to pathology. Diagnostic and Interventional Imaging, 94(10), 1033–1042.
2.Harnsberger HR, Glastonbury CM, Michel MA, Koch BL.Diagnostic imaging: Head and neck.2nd ed. Vol. 6. Altona: Amirsys; 2011.
3.Wiggins RH, 3rd, Harnsberger HR, Salzman KL, Shelton C, Kertesz TR, Glastonbury CM. The many faces of facial nerve schwannoma.AJNR Am J Neuroradiol.2006;27:694–699.
4.Shimizu K, Iwai H, Ikeda K, Sakaida N, Sawada S. Intraparotid facial nerve schwannoma: a report of...