{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:10:23Z","timestamp":1772662223900,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,10,10]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>Acoustic neuroma (AN) usually manifests with asymmetric hearing loss, tinnitus, dizziness and sense of disequilibrium. About 10% of patients complain of atypical symptoms, which include facial numbness or pain and sudden onset of hearing loss. Patients with atypical symptoms also tend to have larger tumours due to the delay in investigation. We report a particularly interesting case of a patient presented to us with numbness over her right hemifacial region after a dental procedure without significant acoustic and vestibular symptoms. Physical examination and pure tone audiometry revealed no significant findings but further imaging revealed a cerebellopontine angle mass. The changing trends with easier access to further imaging indicate that the presentation of patients with AN are also changing. Atypical symptoms which are persistent should raise clinical suspicion of this pathology among clinicians.<\/jats:p>","DOI":"10.1136\/bcr-2019-232275","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T07:07:09Z","timestamp":1572937629000},"page":"e232275","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Acoustic neuroma with orofacial paresthesia: description of an atypical presentation"],"prefix":"10.1136","volume":"12","author":[{"given":"Chee Chean","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khairunnisak","family":"Misron","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology-Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yew Toong","family":"Liew","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7780-2616","authenticated-orcid":false,"given":"Eugene Hung Chih","family":"Wong","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,4]]},"reference":[{"key":"2025082802222721000_12.11.e232275.1","doi-asserted-by":"publisher","DOI":"10.1215\/S1522851705000323"},{"key":"2025082802222721000_12.11.e232275.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.01.037"},{"key":"2025082802222721000_12.11.e232275.3","first-page":"97","article-title":"Some uncharacteristic clinical signs and symptoms of acoustic neuroma","volume":"26","author":"Berrettini","year":"1997","journal-title":"J Otolaryngol"},{"key":"2025082802222721000_12.11.e232275.4","doi-asserted-by":"crossref","first-page":"216","DOI":"10.3171\/JNS-07\/07\/0216","article-title":"Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia","volume":"107","author":"Jannetta","year":"2007","journal-title":"J Neurosurg"},{"key":"2025082802222721000_12.11.e232275.5","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200606000-00018"},{"key":"2025082802222721000_12.11.e232275.6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100122856"},{"key":"2025082802222721000_12.11.e232275.7","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814545440"},{"key":"2025082802222721000_12.11.e232275.8","first-page":"846","article-title":"Radiologic surveillance of acoustic neuromas","volume":"19","author":"Selesnick","year":"1998","journal-title":"Am J Otol"},{"key":"2025082802222721000_12.11.e232275.9","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414566181"},{"key":"2025082802222721000_12.11.e232275.10","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000219217.14930.14"},{"key":"2025082802222721000_12.11.e232275.11","first-page":"801","article-title":"Gamma knife radiosurgery for larger-volume vestibular schwannomas: clinical article","volume":"119","author":"Yang","year":"2013","journal-title":"J Neurosurg"},{"key":"2025082802222721000_12.11.e232275.12","doi-asserted-by":"publisher","DOI":"10.3171\/2009.10.JNS091203"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232275","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:22:35Z","timestamp":1756372955000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":12,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,11,4]]},"published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1136\/bcr-2019-232275"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232275","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}