Choristoma of the intracranial maxillary nerve in a child. Case report.
This report describes what the authors believe to be the first reported case of choristoma of the intracranial maxillary nerve. This 12-year-old girl presented with a 5-year history of severe isolated left-sided trigeminal neuralgia. Computerized tomography and magnetic resonance imaging revealed a mass below the anterior portion of the left cavernous sinus, enlarging the foramen rotundum. Total resection was achieved via a pterional extradural approach. Histological examination revealed a choristoma composed of smooth-muscle fibers. The histogenesis of these tumors when they develop in a nerve remains unclear. They may represent abnormal migration or proliferation of neuroectodermal tissue in or close to a peripheral nerve. Total removal of these tumors should be attempted at initial diagnosis.
Lena
G
G
Department of Pediatric Neurosurgery, Hôpital des Enfants, Marseille, France.
Dufour
T
T
Gambarelli
D
D
Chabrol
B
B
Mancini
J
J
D008841:Actin Cytoskeleton / Q000473:pathology; D002426:Cavernous Sinus / Q000294:innervation*; D002648:Child; D002828:Choristoma / Q000150:complications / Q000473:pathology*; D003389:Cranial Nerve Diseases / Q000473:pathology; D005260:Female; D006801:Humans; D008442:Maxillary Nerve / Q000473:pathology*; D018485:Muscle Fibers, Skeletal / Q000473:pathology*; D009130:Muscle, Smooth / Q000473:pathology*; D012668:Trigeminal Ganglion / Q000473:pathology; D014277:Trigeminal Neuralgia / Q000209:etiology