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DOI: 10.1055/s-0040-1718421
Trigeminal Ophthalmic Branch Schwannoma: Case Report and Literature Review
Schwannoma trigeminal de ramo oftálmico: Relato de caso e revisão da literaturaAbstract
Schwannomas are the fourth most common primary neoplasms affecting the brain and cranial nerves. Central lesions commonly arise from sensory nerve roots, and a common intracranial site is the vestibular branch of the 8th nerve (>85%). We present the case report of a patient who has a schwannoma extending from the pterygopalatine fossa to the orbit, complaining about facial pain in the trajectory of the trigeminal ophthalmic branch. Schwannomas represent 1 to 2% of all neoplasms of the orbit, and trigeminal schwannomas are extremely rare, accounting for less than 0.5% of all intracranial tumors.
Resumo
Schwannomas são a quarta neoplasia primária mais comum que afeta o cérebro e os nervos cranianos. As lesões centrais comumente surgem de raízes nervosas sensitivas, e um sítio intracraniano comum é o ramo vestibular do oitavo nervo (mais de 85% dos casos). Apresentamos o relato de caso de um paciente portador de schwannoma que se estende da fossa pterigopalatina até a órbita, com queixa de dor facial no trajeto do ramo oftálmico do nervo trigêmeo. Schwannomas representam 1–2% de todas as neoplasias da órbita e schwannomas trigeminais são extremamente raros, respondendo por menos de 0,5% de todos os tumores intracranianos.
Keywords
schwannoma - orbital schwannoma - ophthalmic schwannoma - endoscopic transsphenoidal neurosurgery - subciliary approachPalavras-chave
schwannoma - schwannoma orbital - schwannoma oftálmico - neurocirurgia endoscópica Transesfenoidal - abordagem subciliarPublikationsverlauf
Eingereicht: 08. Mai 2020
Angenommen: 04. August 2020
Artikel online veröffentlicht:
16. Oktober 2020
© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Hilton DA, Hanemann CO. Schwannomas and their pathogenesis. Brain Pathol 2014; 24 (03) 205-220 DOI: 10.1111/bpa.12125.
- 2 Caramanti RL, Goes MJ, Chaddad F. et al. Orbital Schwannoma: Case Report and Review. Arq Bras Neurocir Brazilian Neurosurg. 2019; 10-13 DOI: 10.1055/s-0039-1693683.
- 3 Mahore A, Ramdasi R, Chagla A, Tikeykar V. Intraconal optic sheath schwannoma: report of two cases. Br J Neurosurg 2019; 33 (01) 101-103
- 4 Iida Y, Sakata K, Kobayashi N, Tatezuki J, Manaka H, Kawasaki T. Orbital Abducens Nerve Schwannoma: A Case Report and Review of the Literature. NMC Case Rep J 2016; 3 (04) 107-109 DOI: 10.2176/nmccrj.cr.2015-0259.
- 5 Montano N, Lauretti L, D'Alessandris QG. et al. Orbital Tumors: Report of 70 Surgically Treated Cases. World Neurosurg 2018; 119: e449-e458 DOI: 10.1016/j.wneu.2018.07.181.
- 6 Wang Y, Xiao LH. Orbital schwannomas: findings from magnetic resonance imaging in 62 cases. Eye (Lond) 2008; 22 (08) 1034-1039 DOI: 10.1038/sj.eye.6702832.
- 7 Agarwal A. Intracranial trigeminal schwannoma. Neuroradiol J 2015; 28 (01) 36-41 DOI: 10.15274/NRJ-2014-10117.
- 8 Pollack IF, Sekhar LN, Jannetta PJ, Janecka IP. Neurilemomas of the trigeminal nerve. J Neurosurg 1989; 70 (05) 737-745 DOI: 10.3171/jns.1989.70.5.0737.
- 9 Borges A, Casselman J. Imaging the trigeminal nerve. Eur J Radiol 2010; 74 (02) 323-340 DOI: 10.1016/j.ejrad.2010.02.006.
- 10 Bathla G, Hegde AN. The trigeminal nerve: an illustrated review of its imaging anatomy and pathology. Clin Radiol 2013; 68 (02) 203-213 DOI: 10.1016/j.crad.2012.05.019.
- 11 Louis DN, Perry A, Reifenberger G. et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol 2016; 131 (06) 803-820 DOI: 10.1007/s00401-016-1545-1.
- 12 Young SM, Kim YD, Hwang SS, Woo KI. Orbital Schwannoma With Atypical Presentation. J Craniofac Surg 2018; 29 (03) e224-e226 DOI: 10.1097/SCS.0000000000004177.
- 13 Albert P, Patel J, Badawy K. et al. Peripheral Nerve Schwannoma: A Review of Varying Clinical Presentations and Imaging Findings. J Foot Ankle Surg 2017; 56 (03) 632-637 DOI: 10.1053/j.jfas.2016.12.003.
- 14 Strowd III RE, Blakeley JO. Common Histologically Benign Tumors of the Brain. Continuum (Minneap Minn) 2017; 23 (06) Neuro-oncology 1680-1708 DOI: 10.1212/CON.0000000000000541.
- 15 Skolnik AD, Loevner LA, Sampathu DM. et al. Cranial Nerve Schwannomas: Diagnostic Imaging Approach. Radiographics 2016; 36 (05) 1463-1477 DOI: 10.1148/rg.2016150199.
- 16 Kim KS, Jung JW, Yoon KC, Kwon YJ, Hwang JH, Lee SY. Schwannoma of the Orbit. Arch Craniofac Surg 2015; 16 (02) 67-72 DOI: 10.7181/acfs.2015.16.2.67.
- 17 Tezer MS, Ozcan M, Han O, Unal A, Ozlugedik S. Schwannoma originating from the infraorbital nerve: a case report. Auris Nasus Larynx 2006; 33 (03) 343-345 DOI: 10.1016/j.anl.2005.11.015.
- 18 Young SM, Kim YD, Jeon GS, Woo KI. Orbital Frontal Nerve Schwannoma-Distinctive Radiological Features. Am J Ophthalmol 2018; 186: 41-46 DOI: 10.1016/j.ajo.2017.11.012.
- 19 Madrid-Sánchez AJ, Castillo-Rangel C, Contreras-Ayala ML, Ruiz-García E, Castillo-Castro AK, Ramírez-Aguilar R. Schwannoma trigeminal maxilar. Presentación de un caso y revisión de la literatura. Cir y Cir (English Ed) 2017; 85 (01) 49-52 DOI: 10.1016/j.circir.2016.11.008.
- 20 MacNally SP, Rutherford SA, Ramsden RT, Evans DG, King AT. Trigeminal schwannomas. Br J Neurosurg 2008; 22 (06) 729-738 DOI: 10.1080/02688690802272172.
- 21 Yoshida K, Kawase T. Trigeminal neurinomas extending into multiple fossae: surgical methods and review of the literature. J Neurosurg 1999; 91 (02) 202-211 DOI: 10.3171/jns.1999.91.2.0202.
- 22 Xu F, Pan S, Alonso F, Dekker SE, Bambakidis NC. Intracranial Facial Nerve Schwannomas: Current Management and Review of Literature. World Neurosurg 2017; 100: 444-449 DOI: 10.1016/j.wneu.2016.09.082.
- 23 Petersen J, Gilain L, Coutu A, Saroul N. Frontal sinus schwannoma. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135 (03) 213-215 DOI: 10.1016/j.anorl.2018.03.001.
- 24 Karaman İ, Öner M, Kafadar IH, Güney A, Argun M. Surgical excision of peripheral nerve schwannomas: analysis of 11 patients. Acta Orthop Traumatol Turc 2015; 49 (02) 139-143 DOI: 10.3944/AOTT.2015.14.0119.
- 25 Raza SM, Donaldson AM, Mehta A, Tsiouris AJ, Anand VK, Schwartz TH. Surgical management of trigeminal schwannomas: defining the role for endoscopic endonasal approaches. Neurosurg Focus 2014; 37 (04) E17 DOI: 10.3171/2014.7.FOCUS14341.
- 26 Goel A, Shah A, Muzumdar D, Nadkarni T, Chagla A. Trigeminal neurinomas with extracranial extension: analysis of 28 surgically treated cases. J Neurosurg 2010; 113 (05) 1079-1084 DOI: 10.3171/2009.10.JNS091149.
- 27 Jacob JT, Carlson ML, Driscoll CL, Link MJ. Volumetric analysis of tumor control following subtotal and near-total resection of vestibular schwannoma. Laryngoscope 2016; 126 (08) 1877-1882 DOI: 10.1002/lary.25779.
- 28 Puataweepong P, Dhanachai M, Hansasuta A. et al. Clinical outcomes of intracranial nonvestibular schwannomas treated with linac-based stereotactic radiosurgery and radiotherapy. Asian Pac J Cancer Prev 2016; 17 (07) 3271-3276 DOI: 10.1093/jrr/rrt235.
- 29 Bachelet JT, Shipkov H, Breton P, Berhouma M, Jouanneau E, Gleizal A. [Surgical approaches of tumors of the posterior cone of the orbit]. Rev Stomatol Chir Maxillofac Chir Orale 2016; 117 (02) 89-95 DOI: 10.1016/j.revsto.2016.01.005.