Case Report

Vestibular Schwannoma Presenting as Oral Dysgeusia: An Easily Missed Diagnosis

Table 1

Possible causes of oral dysgeusia [15].

Local factorsDental abscess, candida infection, trauma to the oral cavity, hyposalivation, removable prostheses, and gastric oesophageal reflux disease

DrugsAntimicrobials
 Antibacterials: cephalosporins, ciprofloxacin, clarithromycin, clindamycin, co-trimoxazole, doxycycline, imipenem with cilastatin, metronidazole, ofloxacin,
 penicillins, trimethoprim, tetracycline, and vancomycin
 Antivirals: aciclovir, ganciclovir, indinavir, ritonavir, and zidovudine
 Antifungals: fluconazole and griseofulvin
Central nervous system
 Antiparkinsonians: bromocriptine, levodopa, and pergolide
 Migraine medications: naratriptan and sumatriptan
 Muscle relaxants: baclofen and methocarbamol
 Tricyclic antidepressants: amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortriptyline, and trimipramine
 Selective serotonin reuptake inhibitors: citalopram, fluoxetine, fluvoxamine, and sertraline
 Antipsychotics: clozapine, olanzapine, and risperidone
 Benzodiazepines: alprazolam, clonazepam, flurazepam, and midazolam
 Mood stabilisers: lithium
Cardiovascular
 Angiotensin-converting enzyme inhibitors: captopril, enalapril, lisinopril, and perindopril
 Beta-adrenoreceptor blockers: labetalol, metoprolol, propranolol, and timolol
 Calcium-channel blockers: amlodipine, diltiazem, and nifedipine
 Potassium-sparing diuretics: amiloride and triamterene
 Statins: atorvastatin, fluvastatin, and simvastatin
 Antiarrhythmics: amiodarone, flecainide, and procainamide
Endocrine
 Diabetic medications: glibenclamide, metformin, and tolbutamide
Other
 Antineoplastics: busulfan, dacarbazine, vinblastine, and vincristine
 Antimalarials: hydroxychloroquine, pyrimethamine, and quinine
 Bisphosphonates: alendronic acid, etidronic acid, and pamidronic acid
 Bronchodilators: salbutamol and terbutaline
 Nonsteroidal anti-inflammatories: celecoxib, diclofenac, ketoprofen, and ketorolac

Systemic diseaseDiabetes mellitus, haematinic deficiency (ferritin, folate, or vitamin B12), Sjögren’s syndrome, Crohn’s disease, and chronic kidney disease

Peripheral nervous systemSyndromes affecting the facial, glossopharyngeal, or vagal nerves (e.g., Bell’s palsy) and tumours of the skull base or cerebellopontine angle (meningioma, schwannoma, epidermoid tumour, and brain metastasis)

Central nervous systemIschaemia, haemorrhage, or demyelination affecting the brainstem, thalamus or cortical components of the gustatory pathway, and temporal lobe epilepsy