Facial nerve paralysis and meningioma of the internal auditory canal

M. P. Hilton, D. M. Kaplan, L. Ang, J. M. Chen

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Pathological lesions confined to the internal auditory canal (IAC) commonly present with cochleovestibular symptoms; sensorineural hearing loss, tinnitus and balance disturbance. The commonest lesion of the IAC is vestibular schwannoma. Other lesions include meningioma, facial neuroma, cavernous haemangioma, lipoma and arachnoid cyst. Presentation with facial palsy and an intracanalicular lesion is suggestive of pathology other than acoustic neuroma. Magnetic resonance imaging (MRI) cannot reliably distinguish intracanalicular vestibular schwannomas from meningiomas. Particular care is required for surgery of these lesions: The facial nerve typically does not lie in a protected anterior position within the IAC.

Original languageEnglish
Pages (from-to)132-134
Number of pages3
JournalJournal of Laryngology and Otology
Issue number2
StatePublished - 14 Feb 2002
Externally publishedYes


  • Facial Paralysis
  • Meningioma

ASJC Scopus subject areas

  • Otorhinolaryngology


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