title: Rhabdomyomatous mesenchymal hamartoma of the face causing trigeminal neuralgia.
abstract: BACKGROUND
  Rhabdomyomatous mesenchymal hamartoma (RMH) is a benign, potentially pigmented lesion that occurs in the head and neck region. It generally consists of haphazardly arranged skeletal muscle with adipose tissue, blood vessels, collagen and nerve fibers and is largely asymptomatic. Trigeminal neuralgia is pain due to compression of the trigeminal nerve. TN may be idiopathic or associated with lesion-mediated compression.
  
  
  METHODS
  We describe the case of a 14-year-old female presenting with trigeminal neuralgia (TN) associated with RMH. On initial consultation, the patient presented with a history of right-sided lower facial swelling, numbness, and pain. Evaluation by various specialists confirmed TN. Surgical resection of the lesion resolved the condition and pathology confirmed RMH.
  
  
  CONCLUSIONS
  This is the first case report demonstrating RMH-mediated TN. Surgical resection of the RMH is a safe management approach for this diagnosis.
authors.affiliation: Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.
authors.forename: Leon R
authors.initials: LR
authors.lastname: White
authors.affiliation: Department of Surgery, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Vaidehi
authors.initials: V
authors.lastname: Agrawal
authors.affiliation: Department of Pathology, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Sutton
authors.affiliation: Department of Otolaryngology, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Aiysha C
authors.initials: AC
authors.lastname: Balbosa
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005145:Face; D005260:Female; D006222:Hamartoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D012871:Skin Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014277:Trigeminal Neuralgia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery