Schwannomas limited to the infratemporal fossa : Report of two cases

Schwannomas limited to the infratemporal fossa are rare lesions that may also involve the maxillary sinus, the orbit and the retropharyngeal space. We present two cases of schwannoma arising from the extradural divisions of the trigeminal nerve, with corresponding areas of sensory loss. Both patient...

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Veröffentlicht in:Journal of neuro-oncology 1998-02, Vol.36 (3), p.269-277
Hauptverfasser: KRISHNAMURTHY, S, HOLMES, B, POWERS, S. K
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HOLMES, B
POWERS, S. K
description Schwannomas limited to the infratemporal fossa are rare lesions that may also involve the maxillary sinus, the orbit and the retropharyngeal space. We present two cases of schwannoma arising from the extradural divisions of the trigeminal nerve, with corresponding areas of sensory loss. Both patients had been operated for spinal canal schwannomas previously. Complete tumor removal was accomplished in both cases. The schwannoma of the maxillary division was excised using an orbitozygomatic extradural approach. The schwannoma of the mandibular division was excised using a subtemporal-infratemporal approach. Trigeminal nerve function was preserved and complete recovery of function was achieved in each patient. Identification of an infratemporal schwannoma should alert the physician to consider the diagnosis of neurofibromatosis. The literature regarding schwannomas limited to the infratemporal fossa is reviewed.
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subjects Biological and medical sciences
Cranial Nerve Neoplasms - diagnosis
Cranial Nerve Neoplasms - pathology
Cranial Nerve Neoplasms - surgery
Disease-Free Survival
Female
Humans
Mandible
Maxillary sinus
Medical sciences
Middle Aged
Neurilemmoma - diagnosis
Neurilemmoma - diagnostic imaging
Neurilemmoma - surgery
Neurofibromatosis
Neurology
Radiography
Recovery of function
Schwann cells
Skull Base Neoplasms - diagnosis
Skull Base Neoplasms - diagnostic imaging
Skull Base Neoplasms - surgery
Temporal Bone - pathology
Temporal Bone - surgery
Trigeminal nerve
Trigeminal Nerve - pathology
Tumors of the nervous system. Phacomatoses
title Schwannomas limited to the infratemporal fossa : Report of two cases
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