Recurrent Trigeminal Schwannoma with Parapharyngeal Extension: A Rare Cause of Facial Pain

Authors

  • Najam Uddin Atomic Energy Medical Centre, Jinnah Post Graduate Medical Centre Karachi, Pakistan.
  • Muhammad Iqbal Atomic Energy Medical Centre, Jinnah Post Graduate Medical Centre Karachi, Pakistan.
  • Hina Hashmi Atomic Energy Medical Centre, Jinnah Post Graduate Medical Centre Karachi, Pakistan.

DOI:

https://doi.org/10.36570/jduhs.2023.2.1618

Keywords:

Orofacial Pain, Para Pharyngeal Space Extension, Trigeminal Schwannoma

Abstract

Trigeminal Schwannoma is a rare benign tumor of less than 1 % of all intracranial tumors. Trigeminal nerve involvement is the second most common in the head and neck region. They are slow growing and usually arise from sensory divisions of the trigeminal nerve. Orofacial pain and swelling is key clinical features with motor loss in advanced disease. Magnetic resonance imaging (MRI) is diagnostic. Surgery with wide margins is the mainstay of treatment along with adjuvant radiotherapy. We report a case of recurrent Trigeminal Schwannoma in a young female presented as recurrent orofacial pain and swelling. She had undergone surgery few months ago without adjuvant radiotherapy. MRI shows abnormal signal area which is very locally advanced reaching to oral cavity, para pharyngeal space and infratemporal fossa. She was denied for resurgery and definitive radiotherapy was suggested but patient did not pursue due to unknown reasons.

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References

Al Anazi AH, Hendam AT, Al-Nemer AM, Al Anazi FA. A Case of Trigeminal Schwannoma Presenting as a Parasellar Mass. Saudi J Med Med Sci 2018; 6:169-71. doi:10.4103/sjmms.sjmms_120_16

Agarwal A. Intracranial trigeminal schwannoma. Neuroradiol J 2015; 28:36-41. doi: 10.15274/NRJ-2014-10117

Chichorro JG, Porreca F, Sessle B. Mechanisms of craniofacial pain. Cephalalgia 2017 ; 37:613-26. doi: 10.1177/0333102417704187

Ortega-Merchan MP, Reyes F, Mejia JA, Rivera DM, Ga l v i s JC, Ma rque z JC. Cy s ti c trigemina l schwannomas. Radiol Case Rep 2019; 14:1513-7. doi:10.1016/j.radcr.2019.09.031

Dabuleanu M. Pulpitis (reversible/irreversible). J Can Dent Assoc 2013; 79:d90.6- Jimbo H, Kamata S, Miura K, Asamoto S, Masubuchi T, Ikeda Y, et al. Surgical management of giant trigeminal schwannomas extending into the parapharyngeal space. Acta Neurochir (Wien) 2009; 151:335-40. doi:10.1007/s00701-009-0193-9

Bertot BE, Presti ML, Stormes K, Raskin JS, Jea A, Chelius D, et al. Trigeminal schwannoma presenting with malocclusion: A case report and review of the l it e r a tur e . Surg Neurol Int 2020; 11: 2 30. doi:10.25259/SNI_482_2019

Krishnamurthy A, Ramshnkar V, Majhi U. A large extra cranial cystic trigeminal schwannoma of the parapharyngeal space - exploring the right approach. Indian J Surg Oncol 2014; 5:196-8. doi: 10.1007/s13193-014-0326-3

Servadei F, Romano A, Ferri A, Magri AS, Sesenna E. Giant trigeminal schwannoma with parapharyngeal extension: Report of a case. J Craniomaxillofac Surg. 2012; 40: e15–e18. doi: 10.1016/j.jcms.2010.11.012

Singh I, Goyal S, Gupta V, Kumar M, Singh A. Parapharyngeal space schwannomas: our experience and review of literature. Int J Otorhinolaryngol Head Neck Surg 2017; 3:385-9. doi:10.18203/issn.2454-5929.ijohns2017119

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Published

2022-08-04

How to Cite

Uddin, N., Iqbal, M., & Hashmi, H. (2022). Recurrent Trigeminal Schwannoma with Parapharyngeal Extension: A Rare Cause of Facial Pain. Journal of the Dow University of Health Sciences (JDUHS), 17(2). https://doi.org/10.36570/jduhs.2023.2.1618

Issue

Section

Case Report