0:01

So this is a different patient who has the same diagnosis.

0:04

In this case, finally, we get a lesion on the left side.

0:07

So on the post-gadolinium enhanced scan of this patient,

0:10

who presented with pulsatile tinnitus,

0:13

we see contrast enhancement in the expected location

0:17

of the geniculate ganglion of the facial nerve,

0:21

and there's a little bit more extra enhancement of the

0:24

region of the bone which houses the geniculate ganglion.

0:29

And although this is relatively small in size,

0:33

you notice that it's definitely asymmetrical

0:35

with the contralateral side.

0:37

And this represents a post-gadolinium enhanced

0:40

MR appearance of the facial hemangioma.

0:44

Again, facial hemangioma should be referred to really as a

0:48

venous vascular malformation of the

0:51

facial nerve and the bone around it.

0:53

So it actually, usually resides within the bone.

0:57

On the CISS image, not much can be seen here.

1:01

Just this little extra soft tissue at the geniculate

1:04

ganglion on the left side compared with the right side,

1:09

representing the soft tissue mass of a venous

1:12

vascular malformation of the facial nerve,

1:14

so-called facial nerve hemangioma.

Left sided Facial Hemangioma

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