Hemangioma of the mandibular branch of the trigeminal nerve in the Meckel cave presenting with facial pain and sixth nerve palsy.
In a 25-year-old woman with episodic periorbital-temporal pain who eventually developed a sixth nerve palsy, magnetic resonance imaging revealed a lesion predominantly in the Meckel cave that was found to be a capillary hemangioma arising from the mandibular division of the trigeminal nerve. Hemangiomas of the Meckel cave must be considered in cases of facial pain with a sixth nerve palsy. even if there are no clinical findings of trigeminal neuropathy.
Brazis
P W
PW
Department of Neurology, Mayo Clinic Jacksonville, Florida 32224, USA.
Wharen
R E
RE
Czervionke
L F
LF
Witte
R J
RJ
Jones
A D
AD
D020434:Abducens Nerve Diseases / Q000175:diagnosis*; D000328:Adult; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis* / Q000601:surgery; D004388:Dura Mater; D005157:Facial Pain / Q000175:diagnosis*; D005260:Female; D018324:Hemangioma, Capillary / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008340:Mandibular Nerve / Q000473:pathology* / Q000601:surgery; D012668:Trigeminal Ganglion / Q000473:pathology* / Q000601:surgery; D014276:Trigeminal Nerve