Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-23T00:06:43.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Intraosseous trigeminal schwannoma of mandible with intracranial extension

Published online by Cambridge University Press:  27 January 2011

Z Sun ,
L Sun ,
T Li ,
X Ma  and
Z Zhang
Z Sun
Affiliation:
Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, Beijing, China
L Sun
Affiliation:
Department of Oral Pathology, School and Hospital of Stomatology, Peking University, Beijing, China
T Li
Affiliation:
Department of Oral Pathology, School and Hospital of Stomatology, Peking University, Beijing, China
X Ma*
Affiliation:
Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, Beijing, China
Z Zhang
Affiliation:
Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, Beijing, China
*
Address for correspondence: Dr Xuchen Ma, Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, 22 South ZhongGuanCun South Avenue, Haidian District, Beijing 100081, P R China Fax: (8610) 62173402 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

There have been few previous reports of intraosseous schwannomas within the mandible with extension into the cranium. We report two such cases and discuss the relevant clinical features, radiological manifestations and treatment protocols.

Method:

Two case reports of trigeminal schwannoma of the mandible with intracranial extension, including analysis of clinical, radiological and pathological aspects.

Results:

Panoramic radiographs showed both tumours as multilocular radiolucencies. Solid and cystic components were seen on computed tomography and magnetic resonance imaging. The two tumours extended into the cranium through the pterygomandibular space and an obviously expanded foramen ovale.

Conclusion:

Trigeminal schwannoma of the mandible can develop to involve intracranial extension. Radiological identification of an expanded foramen ovale may facilitate pre-operative identification.

Keywords

Trigeminal NerveNeoplasmNeurilemmomaMandiblePathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 4 , April 2011 , pp. 418 - 422
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Sharma, BS, Ahmad, FU, Chandra, PS, Mahapatra, AK. Trigeminal schwannomas: experience with 68 cases. J Clin Neurosci 2008;15:738–43CrossRefGoogle Scholar
2MacNally, SP, Rutherford, SA, Ramsden, RT, Evans, DG, King, AT. Trigeminal schwannomas. Br J Neurosurg 2008;22:729–38CrossRefGoogle ScholarPubMed
3Kouyialis, AT, Stranjalis, G, Papadogiorgakis, N, Papavlassopoulos, F, Ziaka, DS, Petsinis, V et al. Giant dumbbell-shaped middle cranial fossa trigeminal schwannoma with extension to the infratemporal and posterior fossae. Acta Neurochir (Wien) 2007;149:959–63, 964CrossRefGoogle Scholar
4Moiyadi, AV, Satish, S, Rao, G, Santosh, V. Multicompartmental trigeminal schwannoma – a clinical report. J Craniofac Surg 2008;19:1177–80CrossRefGoogle ScholarPubMed
5Yoshida, K, Kawase, T. Trigeminal neurinomas extending into multiple fossae: surgical methods and review of the literature. J Neurosurg 1999;91:202–11CrossRefGoogle ScholarPubMed
6Gallego, L, Junquera, L, Rodriguez-Recio, C, Fresno, MF. Intraosseous mandibular schwannoma mimicking an odontogenic keratocyst, with a postsurgical pathological fracture. J Laryngol Otol 2009;123:560–2CrossRefGoogle ScholarPubMed
7Go, JL, Kim, PE, Zee, CS. The trigeminal nerve. Semin Ultrasound CT MR 2001;22:502–20CrossRefGoogle ScholarPubMed
8Nemzek, WR. The trigeminal nerve. Top Magn Reson Imaging 1996;8:132–54CrossRefGoogle Scholar
9Pamir, MN, Peker, S, Bayrakli, F, Kilic, T, Ozek, MM. Surgical treatment of trigeminal schwannomas. Neurosurg Rev 2007;30:329–37, 337CrossRefGoogle ScholarPubMed
10Honda, K, Asato, R, Tanaka, S, Endo, T, Nishimura, K, Ito, J. Vidian nerve schwannoma with middle cranial fossa extension resected via a maxillary swing approach Head Neck 2008;30:1389–93CrossRefGoogle Scholar
11Osterhus, DR, Van Loveren, HR, Friedman, RA. Trigeminal schwannoma. Am J Otol 1999;20:551–2Google ScholarPubMed
12Prasad, S, Gupta, S, Patankar, T, Goel, A. Fluid-fluid levels in intracranial schwannomas. Australas Radiol 1999;43:529–31CrossRefGoogle ScholarPubMed
13Zhang, L, Yang, Y, Xu, S, Wang, J, Liu, Y, Zhu, S. Trigeminal schwannomas: a report of 42 cases and review of the relevant surgical approaches. Clin Neurol Neurosurg 2009;111:261–9CrossRefGoogle ScholarPubMed
14Phi, JH, Paek, SH, Chung, HT, Jeong, SS, Park, CK, Jung, HW et al. Gamma knife surgery and trigeminal schwannoma: is it possible to preserve cranial nerve function? J Neurosurg 2007;107:727–32CrossRefGoogle ScholarPubMed
15Tsuboi, K, Fujimori, H, Tomono, Y, Hamano, K, Nose, T. Dumbbell-shaped trigeminal neurinoma in a child. Acta Neurochir (Wien) 1999;141:429–32, 432–3CrossRefGoogle ScholarPubMed
16Peker, S, Bayrakli, F, Kilic, T, Pamir, MN. Gamma-knife radiosurgery in the treatment of trigeminal schwannomas. Acta Neurochir (Wien) 2007;149:1133–7CrossRefGoogle ScholarPubMed