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Table 1 GSPN schwannoma reports and findings. CN Cranial nerve, F Female, FU follow-up, IQR Interquartile range, y Year, M Male, MFA Middle fossa approach, mo Months, NA not available

From: Schwannomas of the greater superficial petrosal nerve – case series, discussion of surgical techniques, and review of literature

Study

Nr. of cases

Age / Sex

Clinical presentation

Surgical approach

Outcome and FU

Tremble and Penfield [6]

1

42/M

CN VII palsy

hearing loss

mastoidectomy

FU: NA

Kleinsasser and Friedmann [7]

1

19/F

CN VII palsy

hearing loss

extradural MFA

FU: 6 mo

no changes

Furlow [8]

2

48/M

44/M

seizures

CN VII palsy

hearing loss

extradural MFA mastoidectomy

FU: 8 mo

no changes

Dolenc and Korsic [9]

1

37/M

CN VII palsy

hearing loss

extradural MFA

FU: 1 y

no changes

Kumon et al. [10]

1

21/F

xerophthalmia

CN VII palsy

hearing loss

extradural MFA

FU: 1y

CN VII palsy improvement

hearing loss improvement

Michel et al. [11]

1

20/F

vertigo

CN VII palsy

hearing loss

extradural MFA

FU: NA

CN VII palsy improvement

Kinouchi et al. [12]

2

58/F

49/F

facial pain

vertigo

extradural MFA

FU: NA

xerophthalmia

Aihara et al. [13]

1

65/M

CN VII palsy

extradural MFA

FU: 6 mo

CN VII palsy improvement

hearing loss improvement xerophthalmia

Schmidinger and Deinsberger [4]

1

65/F

CN VII palsy

hearing loss

extradural MFA

FU: 6 mo

hearing unchanged

Mori et al. [14]

1

50/M

hearing loss

extradural MFA

FU: NA

no deficit

Sade and Lee [15]

1

63/F

CN VII palsy

hearing loss

extradural MFA

FU: NA

CN VII palsy improvement

hearing loss improvement

Ayberk et al. [16]

1

16/F

diplopia

xerophthalmia

extradural MFA

FU: 1 y

no deficits

Amirjamshidi et al. [2]

5

22/F

25/M

28/M

28/M

54/F

case 1: seizures

case 2: eye pain

case 3: eye irritation, headache

case 4: eye pain

case 5: hysteria, headache

extradural MFA

FU: NA

xerophthalmia in two cases

Ichimura et al. [17]

4

25/F

27/M

35/F

49/F

case 1: xerophthalmia

case 2: seizures, CN VII palsy

Case 3: xerophthalmia, CN VII palsy

case 4: xerophthalmia, hearing loss

extra-/intradural MFA

FU: NA

CN VII palsy with xerophthalmia in two cases

CN VII palsy in one case

no new deficits in one case

De Paulis et al. [18]

1

23/F

CN VII palsy

hearing loss

xerophthalmia

extra-/intradural MFA

FU: NA

xerophthalmia

Umredkar et al. [19]

2

51/F

CN VII palsy

hearing loss

extradural MFA

FU: 1 y

hearing loss improvement

CN VII palsy improvement

Uppar et al. [1]

1

39/M

headache

xerophthalmia

extradural MFA

FU: 2 y

CN VII palsy

Kusumi et al. [20]

1

66/F

vertigo

extra-/intradural MFA

FU: NA

no deficits

Ishikawa et al. [21]

1

69/F

gait disturbance

extra-/intradural MFA

FU: NA

no deficits

Aftahy et al. (present report)

4

50/F

37/M

35/F

42/F

case 1: CN VII palsy, hearing loss

case 2: CN VII palsy

case 3: CN VII palsy, hearing loss

case 4: CN VII palsy, hearing loss

extradural MFA

extra-/intradural MFA mastoidectomy

pre-/retrosigmoid approach

FU: 9 mo

CN VII palsy improvement in one case

hearing loss in one case

Total in

n (%) or median [IQR]

33

38y [25;50,5]

20 F (60.6%)

13 M (39.4%)

CN VII palsy

facial pain

hearing loss

seizures

xerophthalmia

vertigo

diplopia

seizures

eye pain

eye irritation

headache

gait disturbance

17 (51.5%)

1 (3.0%)

15 (45.5%)

3 (9.1%)

7 (21.2%)

3 (9.1%)

1 (3.0%)

3 (9.1%)

2 (6.1%)

1 (3.0%)

3 (9.1%)

1 (3.0%)

extradural MFA

extra-/intradural MFA

pre-/retrosigmoid approach

mastoidectomy

15 (45.5%)

5 (15.2%)

1 (3.0%)

3 (9.1%)

median FU

CN VII palsy

hearing loss

xerophthalmia

Improvement

CN VII palsy

Improvement

hearing loss

9 mo [6;12]

4 (12.1%)

1 (3.0%)

7 (21.2%)

6 (18.2%)

4 (12.1%)