scholarly journals Trigeminal schwannoma presenting with malocclusion: A case report and review of the literature

2020 ◽  
Vol 11 ◽  
pp. 230
Author(s):  
Brandon Emilio Bertot ◽  
Melissa Lo Presti ◽  
Katie Stormes ◽  
Jeffrey S. Raskin ◽  
Andrew Jea ◽  
...  
Keyword(s):  
Case Report ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Masticatory Muscles ◽  
Motor Neuropathy ◽  
Atypical Presentation ◽  
Case Description ◽  
Review Of The Literature ◽  
Trigeminal Schwannoma ◽  
Mandibular Branch

Background: Trigeminal schwannomas are rare tumors of the trigeminal nerve. Depending on the location, from which they arise along the trigeminal nerve, these tumors can present with a variety of symptoms that include, but are not limited to, changes in facial sensation, weakness of the masticatory muscles, and facial pain. Case Description: We present a case of a 16-year-old boy with an atypical presentation of a large trigeminal schwannoma: painless malocclusion and unilateral masticatory weakness. This case is the first documented instance; to the best of our knowledge, in which a trigeminal schwannoma has led to underbite malocclusion; it is the 19th documented case of unilateral trigeminal motor neuropathy of any etiology. We discuss this case as a unique presentation of this pathology, and the relevant anatomy implicated in clinical examination aid in further understanding trigeminal nerve pathology. Conclusion: We believe our patient’s underbite malocclusion occurred secondary to his trigeminal schwannoma, resulting in associated atrophy and weakness of the muscles innervated by the mandibular branch of the trigeminal nerve. Furthermore, understanding the trigeminal nerve anatomy is crucial in localizing lesions of the trigeminal nerve.

Pathological laughter in trigeminal schwannoma: case report and review of the literature

2006 ◽  
Vol 29 (4) ◽  
pp. 348-352 ◽  
Author(s):  
Anita Jagetia ◽  
N. Pratap Kumar ◽  
Daljit Singh ◽  
Sanjiv Sinha
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Trigeminal Schwannoma ◽  
Pathological Laughter

scholarly journals A Novel Case of Resolved Postherpetic Neuralgia with Subsequent Development of Trigeminal Neuralgia: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Alexander Mason ◽  
Kristen Ayres ◽  
Sigita Burneikiene ◽  
Alan T. Villavicencio ◽  
E. Lee Nelson ◽  
...  
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Trigeminal Neuralgia ◽  
Female Patient ◽  
Trigeminal Nerve ◽  
Postherpetic Neuralgia ◽  
Subsequent Development ◽  
Review Of The Literature ◽  
Trigeminal Pain ◽  
Ophthalmic Branch

A 72-year-old female patient is presented, who was diagnosed with herpes zoster along the left ophthalmic branch of the trigeminal nerve with associated cutaneous vesicles. The patient subsequently developed postherpetic neuralgia in the same dermatome, which, after remission, transformed into paroxysmal trigeminal pain. The two different symptom sets, with the former consistent with PHN and the later consistent with trigeminal neuralgia, were unique to our practice and the literature.

scholarly journals Olfactory Neuroblastoma: A Case Report and Review of the Literature

2005 ◽  
Vol 84 (3) ◽  
pp. 150-152 ◽  
Author(s):  
Shehzad Ghaffar ◽  
Iftikhar Salahuddin
Keyword(s):  
Case Report ◽  
Facial Pain ◽  
Elderly Woman ◽  
Malignant Tumors ◽  
Olfactory Neuroblastoma ◽  
Lateral Rhinotomy ◽  
Review Of The Literature ◽  
Postoperative Radiation ◽  
History Of

Malignant tumors of the nasal cavity are rare. We report the case of an elderly woman who consulted us with a 4-year history of progressive nasal obstruction, occasional epistaxis, facial pain, and watering of the eyes. A diagnosis of olfactory neuroblastoma was established by histopathology and confirmed by immunohistochemistry. On staging, the mass was classified as a Kadish stage B tumor. The mass was excised via a lateral rhinotomy approach, and the tumor was peeled away completely from the cribriform plate with endoscopes. The patient underwent postoperative radiation, and she was free of recurrence at follow-up 15 months later.

scholarly journals Persistent hypoglycemia as an early, atypical presentation of hepatocellular carcinoma: A case report and systematic review of the literature

2014 ◽  
Vol 8 (4) ◽  
pp. 1810-1814 ◽  
Author(s):  
CHEN-YEN TSAI ◽  
SHOU-CHU CHOU ◽  
HSIEN-TA LIU ◽  
JIUNN-DIANN LIN ◽  
YING-CHIN LIN
Keyword(s):  
Hepatocellular Carcinoma ◽  
Systematic Review ◽  
Case Report ◽  
Atypical Presentation ◽  
Review Of The Literature

scholarly journals An atypical presentation of sporadic ovarian Burkitt’s lymphoma: case report and review of the literature

2013 ◽  
Vol 6 (1) ◽  
pp. 46 ◽  
Author(s):  
Paola Bianchi ◽  
Francesco Torcia ◽  
Marta Vitali ◽  
Giuliana Cozza ◽  
Marco Matteoli ◽  
...  
Keyword(s):  
Case Report ◽  
Burkitt’S Lymphoma ◽  
Burkitt's Lymphoma ◽  
Atypical Presentation ◽  
Review Of The Literature

Isolated Trigeminal Nerve Sarcoid Granuloma Mimicking Trigeminal Schwannoma: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 52 (3) ◽  
pp. 700-705 ◽  
Author(s):  
Alfredo Quinones-Hinojosa ◽  
Edward F. Chang ◽  
Saad A. Khan ◽  
Michael W. McDermott
Keyword(s):  
Cavernous Sinus ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Frozen Section ◽  
Cranial Nerves ◽  
Lateral Wall ◽  
Neurophysiological Monitoring ◽  
Pathology Report ◽  
Trigeminal Schwannoma ◽  
Sarcoid Granuloma

Abstract OBJECTIVE AND IMPORTANCE Sarcoidosis most commonly presents as a systemic disorder. Infrequently, sarcoidosis can manifest itself in the central nervous system, with granulomas involving the leptomeninges and presenting with facial nerve weakness. Sarcoid of the trigeminal nerve is exceedingly rare and can mimic trigeminal schwannoma. We review the literature on sarcoid granulomas of the trigeminal nerve and compare their radiological features with the more common schwannoma. CLINICAL PRESENTATION A 33-year-old woman presented with a history of left-sided facial pain and numbness for 11 months, which was presumed to be trigeminal neuralgia. A trial of carbamazepine had been unsuccessful in relieving the facial pain. Her neurological examination revealed decreased facial sensation in the V1–V2 distribution. Preoperative magnetic resonance imaging demonstrated a contrast-enhancing mass centered in the left cavernous sinus with extension along the cisternal portion of the left trigeminal nerve. INTERVENTION The patient underwent a left frontotemporal orbitozygomatic craniotomy with intraoperative neurophysiological monitoring of Cranial Nerves III, V, and VI and image guidance for subtotal microsurgical resection of what appeared, grossly and on frozen section, to be a neurofibroma. The final pathology report, however, revealed a sarcoid granuloma of the trigeminal nerve. CONCLUSION The differential diagnosis of contrast-enhancing lesions in the lateral wall of the cavernous sinus should include inflammatory conditions such as sarcoidosis. We recommend that surgery for biopsy or decompression be used only for those patients in whom a diagnosis cannot be confirmed with noninvasive testing. If surgery is performed, intraoperative frozen pathology is very useful in guiding the extent of resection.

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