Invasive trigeminal ganglioneuroma: A case report and review of the literature.

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Acta radiologica open Pub Date : 2024-09-09 eCollection Date: 2024-09-01 DOI:10.1177/20584601241283780
Rama Krishna Narra, Kavya Are, Parveen Nuzhat
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Abstract

Ganglioneuromas are rare tumors arising from retroperitoneal and posterior mediastinal sympathetic nerves. Intracranial trigeminal nerve ganglioneuromas are even more rare, with only seven cases reported to date. We present a case of a 65-year-old male with a right-sided throbbing headache type and blindness in his right eye. Magnetic resonance imaging revealed an ill-defined mass lesion in the middle-cranial fossa, with a few areas having a reduced apparent diffusion coefficient and multiple microhemorrhages. Piecemeal debulking of the tumor was achieved by performing a right-middle craniotomy via the pterionic and sub-temporal approach. The detected histological features matched those of a ganglioneuroma (maturing type) of the trigeminal nerve.

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侵袭性三叉神经节瘤:病例报告和文献综述。
神经节血管瘤是一种罕见的肿瘤,由腹膜后和纵隔后交感神经引起。颅内三叉神经节瘤更为罕见,迄今仅有七例报道。我们报告了一例 65 岁男性的病例,他患有右侧搏动性头痛,右眼失明。磁共振成像显示,中颅窝有一个界限不清的肿块病变,少数区域的表观弥散系数降低,并有多处微出血。通过翼下和颞下入路进行右侧中开颅手术,对肿瘤进行了碎块剥离。检测到的组织学特征与三叉神经节瘤(成熟型)相符。
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