Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms

Post-surgery for a nerve tumor in the left neck?

Hello Doctor, I am a patient who underwent surgery for a schwannoma one month ago.
After the surgery, aside from pain at the incision site and left eyelid drooping, I did not experience any discomfort.
However, two weeks later, I began to notice numbness on the left side of my tongue.
Now, whenever something with a flavor touches the left side of my tongue, I experience severe pain from my left jaw to the area in front of my ear and cheek.
I consulted an ENT specialist who diagnosed it as arthritis, but after taking anti-inflammatory medication for two weeks, there has been no improvement.
The surgeon only mentioned that the schwannoma was located on a small nerve, but did not specify which nerve it was.
I would like to ask: 1.
Given my situation, should I see a neurologist for a detailed examination? The ENT specialist said it would just take time to heal, but did not provide a specific timeframe.
2.
Is there a way to determine which nerve is affected based on these symptoms? 3.
What can I do to expedite my recovery to normalcy? Thank you for your assistance!

Miss Lin, 20~29 year old female. Ask Date: 2016/04/04

Dr. Jiang Junyi reply Neurology

Hello, based on your description, your symptoms may suggest neuroinflammation.
The location of the pain may indicate trigeminal neuralgia.
Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin B can help alleviate numbness and pain.
Rehabilitation treatments like heat therapy and electrical stimulation may also reduce discomfort.
I recommend consulting a neurologist for further discussion and treatment.
Wishing you good health and peace.
Best regards, Dr.
Tao.

Reply Date: 2016/04/04

More Info

After undergoing surgery for a schwannoma, it's not uncommon for patients to experience a variety of complications and lingering symptoms. In your case, the symptoms you describe—left eyelid drooping, left half of the tongue numbness, and severe pain when tasting food on the left side—are concerning and warrant further investigation.

1. Consulting a Neurologist: Given your symptoms, it would be prudent to consult a neurologist. They specialize in diagnosing and treating conditions related to the nervous system, including nerve injuries and complications following surgery. A neurologist can perform a thorough examination and may recommend imaging studies, such as an MRI or CT scan, to assess the status of the nerves and identify any potential issues that may have arisen from the surgery.

2. Identifying the Affected Nerve: The symptoms you are experiencing could be related to damage or irritation of specific cranial nerves. The facial nerve (cranial nerve VII) could be implicated in the eyelid drooping, while the glossopharyngeal nerve (cranial nerve IX) or the trigeminal nerve (cranial nerve V) could be involved in the pain and numbness in the tongue and jaw area. A neurologist can help determine which nerve is affected through clinical examination and possibly nerve conduction studies.

3. Management and Recovery: To facilitate recovery, it's essential to follow a comprehensive approach:
- Medication: If inflammation or nerve irritation is suspected, your doctor may prescribe medications such as corticosteroids to reduce swelling and pain. Pain management is crucial, and if over-the-counter pain relievers are ineffective, your doctor might consider stronger prescription options.

- Physical Therapy: Engaging in physical therapy, particularly with a focus on facial exercises, can help improve muscle function and reduce discomfort. A speech therapist may also assist if there are issues with swallowing or speech due to nerve involvement.

- Dietary Adjustments: Since you mentioned pain when tasting food, it might be beneficial to modify your diet temporarily to avoid irritating foods. Soft foods and avoiding very hot or cold items can help minimize discomfort.

- Regular Follow-ups: Regular follow-up appointments with your healthcare provider are essential to monitor your symptoms and adjust treatment as necessary. Keeping a symptom diary can also help track any changes or patterns in your condition.

In terms of recovery time, it can vary significantly from person to person. Nerve healing can take weeks to months, and while some symptoms may improve over time, others may require more intensive intervention. It's important to remain patient and proactive in seeking care.

In conclusion, your symptoms post-surgery are significant and should not be overlooked. Consulting a neurologist for a detailed evaluation is the best course of action. They can help identify the specific nerve involved and guide you through a tailored recovery plan. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek the care you need.

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