Angioleiomyoma of the internal auditory canal: clinical and radiographic features

Otol Neurotol. 2010 Dec;31(9):1451-4. doi: 10.1097/MAO.0b013e3181f1ce20.

Abstract

Objective: Discussion of a rare case of angioleiomyoma of the internal auditory canal.

Patient: Thirteen-year-old female patient with a 1-year history of progressive hearing loss.

Intervention: Middle cranial fossa approach providing complete surgical extirpation.

Main outcome measure: Surgical pathology.

Results: Radiography and history suggestive of vestibular schwannoma; pathology revealed angioleiomyoma.

Conclusion: Angioleiomyoma is a rare lesion of the internal auditory canal that has many similar clinical and radiographic features of a vestibular schwannoma. There are no previous reports of this tumor occurring within the internal auditory canal in this age group.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / analogs & derivatives
  • Acyclovir / therapeutic use
  • Adolescent
  • Angiomyoma / diagnostic imaging
  • Angiomyoma / pathology*
  • Angiomyoma / surgery
  • Anti-Inflammatory Agents / therapeutic use
  • Antiviral Agents / therapeutic use
  • Cranial Fossa, Middle / surgery
  • Ear Neoplasms / diagnostic imaging
  • Ear Neoplasms / pathology*
  • Ear Neoplasms / surgery
  • Ear, Inner / pathology*
  • Ear, Inner / surgery
  • Facial Nerve / physiology
  • Facial Nerve Diseases / etiology
  • Female
  • Hearing Loss, Sudden / etiology
  • Humans
  • Magnetic Resonance Imaging
  • Postoperative Complications / pathology
  • Prednisone / therapeutic use
  • Tomography, X-Ray Computed
  • Valacyclovir
  • Valine / analogs & derivatives
  • Valine / therapeutic use
  • Vertigo / etiology
  • Vestibular Nerve / pathology
  • Vestibular Nerve / surgery

Substances

  • Anti-Inflammatory Agents
  • Antiviral Agents
  • Valine
  • Valacyclovir
  • Prednisone
  • Acyclovir