Intraocular Neuromuscular Choristoma: A Case Report and Literature Review
Neuromuscular choristomas (NMCs) are rare benign tumors of the peripheral nerves. Although histopathological characteristics of this unusual lesion have been recognized, in this regard, neuroimaging findings have not been well described previously. We report the first intraconally located NMC affect...
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Veröffentlicht in: | Neurosurgery 2011-02, Vol.68 (2), p.551-552 |
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description | Neuromuscular choristomas (NMCs) are rare benign tumors of the peripheral nerves. Although histopathological characteristics of this unusual lesion have been recognized, in this regard, neuroimaging findings have not been well described previously. We report the first intraconally located NMC affecting the oculomotor nerve, with histopathological and radiological characteristics.
A 10-year-old girl presented with sudden-onset left temporal and retro-orbital pain. Magnetic resonance imaging scans demonstrated a small, capsulated, retro-orbital, intraconal solid lesion that was diagnosed as an atypical dermoid cyst preoperatively. The tumor was resected subtotally. Postoperatively, the patient became pain free, but ipsilateral ptosis and upward eye movement failure developed. Histologically, the lesion consisted of well-differentiated striated muscle fibers intermingled with mature nerve elements consistent with the NMC.
Although intracranial NMCs need histological confirmation for diagnosis, neuroimaging might contribute to the preoperative diagnosis and management strategy of treatment. We report the first intraconal NMC, which should be considered in the differential diagnosis of intraorbital tumors. |
doi_str_mv | 10.1227/NEU.0b013e31820397e9 |
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A 10-year-old girl presented with sudden-onset left temporal and retro-orbital pain. Magnetic resonance imaging scans demonstrated a small, capsulated, retro-orbital, intraconal solid lesion that was diagnosed as an atypical dermoid cyst preoperatively. The tumor was resected subtotally. Postoperatively, the patient became pain free, but ipsilateral ptosis and upward eye movement failure developed. Histologically, the lesion consisted of well-differentiated striated muscle fibers intermingled with mature nerve elements consistent with the NMC.
Although intracranial NMCs need histological confirmation for diagnosis, neuroimaging might contribute to the preoperative diagnosis and management strategy of treatment. We report the first intraconal NMC, which should be considered in the differential diagnosis of intraorbital tumors.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/NEU.0b013e31820397e9</identifier><identifier>PMID: 21135718</identifier><identifier>CODEN: NRSRDY</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Biological and medical sciences ; Brain cancer ; Child ; Female ; Humans ; Medical imaging ; Medical sciences ; Neurosurgery ; Oculomotor Nerve Diseases - pathology ; Oculomotor Nerve Diseases - surgery ; Orbital Neoplasms - pathology ; Orbital Neoplasms - surgery ; Rhabdomyoma - pathology ; Rhabdomyoma - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tumors</subject><ispartof>Neurosurgery, 2011-02, Vol.68 (2), p.551-552</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 by the Congress of Neurological Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-4072305a96338e9137f033ae38baa28c27f4b5155c93f61cdda157e491e356c3</citedby><cites>FETCH-LOGICAL-c364t-4072305a96338e9137f033ae38baa28c27f4b5155c93f61cdda157e491e356c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23794997$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21135718$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BOYACI, Suat</creatorcontrib><creatorcontrib>MORAY, Murat</creatorcontrib><creatorcontrib>AKSOY, Kaya</creatorcontrib><creatorcontrib>SAV, Aydin</creatorcontrib><title>Intraocular Neuromuscular Choristoma: A Case Report and Literature Review</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Neuromuscular choristomas (NMCs) are rare benign tumors of the peripheral nerves. Although histopathological characteristics of this unusual lesion have been recognized, in this regard, neuroimaging findings have not been well described previously. We report the first intraconally located NMC affecting the oculomotor nerve, with histopathological and radiological characteristics.
A 10-year-old girl presented with sudden-onset left temporal and retro-orbital pain. Magnetic resonance imaging scans demonstrated a small, capsulated, retro-orbital, intraconal solid lesion that was diagnosed as an atypical dermoid cyst preoperatively. The tumor was resected subtotally. Postoperatively, the patient became pain free, but ipsilateral ptosis and upward eye movement failure developed. Histologically, the lesion consisted of well-differentiated striated muscle fibers intermingled with mature nerve elements consistent with the NMC.
Although intracranial NMCs need histological confirmation for diagnosis, neuroimaging might contribute to the preoperative diagnosis and management strategy of treatment. We report the first intraconal NMC, which should be considered in the differential diagnosis of intraorbital tumors.</description><subject>Biological and medical sciences</subject><subject>Brain cancer</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Neurosurgery</subject><subject>Oculomotor Nerve Diseases - pathology</subject><subject>Oculomotor Nerve Diseases - surgery</subject><subject>Orbital Neoplasms - pathology</subject><subject>Orbital Neoplasms - surgery</subject><subject>Rhabdomyoma - pathology</subject><subject>Rhabdomyoma - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BOYACI, Suat</creatorcontrib><creatorcontrib>MORAY, Murat</creatorcontrib><creatorcontrib>AKSOY, Kaya</creatorcontrib><creatorcontrib>SAV, Aydin</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BOYACI, Suat</au><au>MORAY, Murat</au><au>AKSOY, Kaya</au><au>SAV, Aydin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraocular Neuromuscular Choristoma: A Case Report and Literature Review</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>68</volume><issue>2</issue><spage>551</spage><epage>552</epage><pages>551-552</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><coden>NRSRDY</coden><abstract>Neuromuscular choristomas (NMCs) are rare benign tumors of the peripheral nerves. Although histopathological characteristics of this unusual lesion have been recognized, in this regard, neuroimaging findings have not been well described previously. We report the first intraconally located NMC affecting the oculomotor nerve, with histopathological and radiological characteristics.
A 10-year-old girl presented with sudden-onset left temporal and retro-orbital pain. Magnetic resonance imaging scans demonstrated a small, capsulated, retro-orbital, intraconal solid lesion that was diagnosed as an atypical dermoid cyst preoperatively. The tumor was resected subtotally. Postoperatively, the patient became pain free, but ipsilateral ptosis and upward eye movement failure developed. Histologically, the lesion consisted of well-differentiated striated muscle fibers intermingled with mature nerve elements consistent with the NMC.
Although intracranial NMCs need histological confirmation for diagnosis, neuroimaging might contribute to the preoperative diagnosis and management strategy of treatment. We report the first intraconal NMC, which should be considered in the differential diagnosis of intraorbital tumors.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>21135718</pmid><doi>10.1227/NEU.0b013e31820397e9</doi><tpages>2</tpages></addata></record> |
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subjects | Biological and medical sciences Brain cancer Child Female Humans Medical imaging Medical sciences Neurosurgery Oculomotor Nerve Diseases - pathology Oculomotor Nerve Diseases - surgery Orbital Neoplasms - pathology Orbital Neoplasms - surgery Rhabdomyoma - pathology Rhabdomyoma - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tumors |
title | Intraocular Neuromuscular Choristoma: A Case Report and Literature Review |
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