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Case Reports in Dentistry
Volume 2016, Article ID 7081919, 6 pages
http://dx.doi.org/10.1155/2016/7081919
Case Report

Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis

1Oral Medicine Department, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK
2Oral Medicine Department, University of Bristol Dental School, Lower Maudlin Street, Bristol BS1 2LY, UK

Received 27 October 2015; Revised 4 January 2016; Accepted 27 January 2016

Academic Editor: Miguel Peñarrocha

Copyright © 2016 Emma Brown and Konrad Staines. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.