Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis

We present a case of a fifty-year-old male patient who was referred to the Oral Medicine Department with a complaint of a salty taste. History taking subsequently revealed that the patient was also experiencing intermittent numbness of his left lower lip, tinnitus, and a feeling of fullness in the l...

Full description

Saved in:
Bibliographic Details
Main Authors: Emma Brown, Konrad Staines
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/7081919
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554045703716864
author Emma Brown
Konrad Staines
author_facet Emma Brown
Konrad Staines
author_sort Emma Brown
collection DOAJ
description We present a case of a fifty-year-old male patient who was referred to the Oral Medicine Department with a complaint of a salty taste. History taking subsequently revealed that the patient was also experiencing intermittent numbness of his left lower lip, tinnitus, and a feeling of fullness in the left ear. Magnetic resonance imaging was performed which revealed a large vestibular schwannoma affecting the left vestibulocochlear nerve, which was treated surgically. This case shows the importance of taking a detailed history in a patient presenting with an initial complaint of oral dysgeusia. It also highlights the possibility of significant underlying pathology, presenting with initial low level, nonspecific complaints such as an altered taste, and the rationale for imaging patients who report unilateral facial hypoesthesia.
format Article
id doaj-art-db1251a8ce3f41b19143f186ffe844d3
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-db1251a8ce3f41b19143f186ffe844d32025-02-03T05:52:36ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/70819197081919Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed DiagnosisEmma Brown0Konrad Staines1Oral Medicine Department, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UKOral Medicine Department, University of Bristol Dental School, Lower Maudlin Street, Bristol BS1 2LY, UKWe present a case of a fifty-year-old male patient who was referred to the Oral Medicine Department with a complaint of a salty taste. History taking subsequently revealed that the patient was also experiencing intermittent numbness of his left lower lip, tinnitus, and a feeling of fullness in the left ear. Magnetic resonance imaging was performed which revealed a large vestibular schwannoma affecting the left vestibulocochlear nerve, which was treated surgically. This case shows the importance of taking a detailed history in a patient presenting with an initial complaint of oral dysgeusia. It also highlights the possibility of significant underlying pathology, presenting with initial low level, nonspecific complaints such as an altered taste, and the rationale for imaging patients who report unilateral facial hypoesthesia.http://dx.doi.org/10.1155/2016/7081919
spellingShingle Emma Brown
Konrad Staines
Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis
Case Reports in Dentistry
title Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis
title_full Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis
title_fullStr Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis
title_full_unstemmed Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis
title_short Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis
title_sort vestibular schwannoma presenting as oral dysgeusia an easily missed diagnosis
url http://dx.doi.org/10.1155/2016/7081919
work_keys_str_mv AT emmabrown vestibularschwannomapresentingasoraldysgeusiaaneasilymisseddiagnosis
AT konradstaines vestibularschwannomapresentingasoraldysgeusiaaneasilymisseddiagnosis