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TABLE 1: Patients with pathologically proven perineural tumor spread along the auriculotemporal nerve
Patient No. Diagnosis Cranial Nerve Palsy Symptoms Involvement Additional Imaging Findings
Facial Nerve Main Trunk Auriculotemporal Nerve Cranial Nerve V Skull Base Intracranial
1 Poorly differentiated adenoid cystic carcinoma VII palsy at presentation, V₃ palsy 10 mo later Otalgia Yes Yes Suspected No No None
2 Moderately differentiated squamous cell carcinoma VII palsy at presentation Face swelling, preauricular pain Yes Yes Yes No No None
3 Adenoid cystic carcinoma VII palsy for 2 y, pain in V₃ distribution for 1 y Periauricular pain for 1 y Yes Yes Yes Unknown Unknown None
4 Unknown Right VII palsy at presentation Preauricular swelling Yes Yes Yes No No Involvement of infratemporal fossa
5 Well-differentiated squamous cell carcinoma VII palsy at presentation Preauricular pain and swelling Yes Yes Yes Yes, 16 mo after initial diagnosis Yes, 16 mo after initial diagnosis Involvement of infratemporal fossa
6 Malignant schwannoma VII palsy at presentation, V₂ palsy for 16 y Intermittent diplopia Yes Yes Yes No Yes Involvement of V₂
7 Mucoepidermoid carcinoma VII palsy at presentation Mass posterior to left jaw No Yes No No No None