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Updated: Aug 24, 2025

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Intracranial hemangioma-associated cranial nerve VII palsy treated with propranolol in an infant with possible PHACE
Dina H Zamil1, Joan K Fernandez2, Danielle N Brown2
1School of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Abstract:
A 2-week-old infant with a large vascular birthmark involving her right face presented with right-sided facial paralysis. MRI of the brain revealed multiple intracranial hemangiomas, and the hemangioma within the right temporal bone impinged on the facial nerve, which resulted in paralysis. Cranial nerve palsies are a rare neurological manifestation of PHACE syndrome. We report successful treatment of the facial nerve palsy with oral propranolol.
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