Child's Nervous System

, Volume 35, Issue 5, pp 897–898 | Cite as

Contralateral facial nerve paresis subsequent to posterior fossa meningioma surgery in a child: case report

  • Ghazaleh Kheiri
  • Zohreh Habibi
  • Farideh NejatEmail author
Case Report



Meningiomas are relatively uncommon neoplasms in the pediatric population and posterior fossa is a very rare location for these tumors. Only a few cases of contralateral cranial nerve deficits have been reported but no cases of pediatric meningioma with contralateral facial nerve paresis have been documented in literature.

Cerebellopontine Angle Meningioma Who Case report

We present a 4 year old girl with found postoperative contralateral facial nerve paresis.


The possible pathogenesis and literature review concerning this complication are discussed. The mechanisms leading to this complication could be distortion of brainstem, traction during resection and subsequent compression of brainstem against the contralateral petrous or tentorium.


Facial nerve Cerebellopontine angle Meningioma Postoperative complication 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Amirjamshidi A, Mehrazin M, Abbassioun K (2000) Meningiomas of the central nervous system occurring below the age of 17: report of 24 cases not associated with neurofibromatosis and review of literature. Childs Nerv Syst 16:406–416CrossRefGoogle Scholar
  2. 2.
    Cheng W-C, Chang C-N (2008) Trigeminal neuralgia caused by contralateral supratentorial meningioma. J Clin Neurosci 15:1162–1163CrossRefGoogle Scholar
  3. 3.
    Eftekhar B, Gheini M, Ghodsi M, Ketabchi E (2003) Vestibular schwannoma with contralateral facial pain - case report. BMC Neurol 3:2CrossRefGoogle Scholar
  4. 4.
    Grigoryan YA, Onopchenko CV (1999) Persistent trigeminal neuralgia after removal of contralateral posterior cranial fossa tumor. Report of two cases. Surg Neurol 52:56–60 discussion 60-51CrossRefGoogle Scholar
  5. 5.
    Haddad FS, Taha JM (1990) An unusual cause for trigeminal neuralgia: contralateral meningioma of the posterior fossa. Neurosurgery 26:1033–1038CrossRefGoogle Scholar
  6. 6.
    Hamby WB (1947) Trigeminal neuralgia due to contralateral tumors of the posterior cranial fossa. J Neurosurg 4:179–182CrossRefGoogle Scholar
  7. 7.
    Nakamura M, Roser F, Dormiani M, Matthies C, Vorkapic P, Samii M (2005) Facial and cochlear nerve function after surgery of cerebellopontine angle meningiomas. Neurosurgery 57:77–90 discussion 77-90CrossRefGoogle Scholar
  8. 8.
    Rhee BA, Kim TS, Kim GK, Leem WL (1995) Hemifacial spasm caused by contralateral cerebellopontine angle meningioma: case report. Neurosurgery 36:393-395CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Children’s Hospital Medical CenterTehran University of Medical ScienceTehranIran

Personalised recommendations