Trigeminal Ophthalmic Branch Schwannoma: Case Report and Literature Review

Luiza Rech Köhler; Paulo Moacir Mesquita Filho; Fabio Pires Santos; Renato Sawasaki; Richard Giacomelli; Rafael Cordeiro; Octavio Karam Ruschel; Daniela Schwingel

doi:10.1055/s-0040-1718421

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(01): 091-096
DOI: 10.1055/s-0040-1718421

Case Report | Relato de Caso

Trigeminal Ophthalmic Branch Schwannoma: Case Report and Literature Review

Schwannoma trigeminal de ramo oftálmico: Relato de caso e revisão da literatura

Luiza Rech Köhler

¹Medical School, Universidade de Passo Fundo, Passo Fundo, RS, Brazil

²Academic League of Neurology and Neurosurgery Service (LASNN), Passo Fundo, RS, Brazil

,

Paulo Moacir Mesquita Filho

¹Medical School, Universidade de Passo Fundo, Passo Fundo, RS, Brazil

²Academic League of Neurology and Neurosurgery Service (LASNN), Passo Fundo, RS, Brazil

³Neurology and Neurosurgery Service (SNN), Passo Fundo, RS, Brazil

⁴Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil

,

Fabio Pires Santos

¹Medical School, Universidade de Passo Fundo, Passo Fundo, RS, Brazil

⁵ENT surgeon, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil

,

Renato Sawasaki

⁶Department of Oral and Maxillofacial Surgery, Hospital de Clínicas de Passo Fundo, RS, Brazil

,

Richard Giacomelli

²Academic League of Neurology and Neurosurgery Service (LASNN), Passo Fundo, RS, Brazil

⁷Hospital de Clínicas de Passo Fundo, RS, Brazil

,

Rafael Cordeiro

²Academic League of Neurology and Neurosurgery Service (LASNN), Passo Fundo, RS, Brazil

⁷Hospital de Clínicas de Passo Fundo, RS, Brazil

,

Octavio Karam Ruschel

²Academic League of Neurology and Neurosurgery Service (LASNN), Passo Fundo, RS, Brazil

⁷Hospital de Clínicas de Passo Fundo, RS, Brazil

,

Daniela Schwingel

⁸Instituto de Patologia de Passo Fundo, Passo Fundo, RS, Brazil

› Author Affiliations

Abstract

Schwannomas are the fourth most common primary neoplasms affecting the brain and cranial nerves. Central lesions commonly arise from sensory nerve roots, and a common intracranial site is the vestibular branch of the 8^th nerve (>85%). We present the case report of a patient who has a schwannoma extending from the pterygopalatine fossa to the orbit, complaining about facial pain in the trajectory of the trigeminal ophthalmic branch. Schwannomas represent 1 to 2% of all neoplasms of the orbit, and trigeminal schwannomas are extremely rare, accounting for less than 0.5% of all intracranial tumors.

Resumo

Schwannomas são a quarta neoplasia primária mais comum que afeta o cérebro e os nervos cranianos. As lesões centrais comumente surgem de raízes nervosas sensitivas, e um sítio intracraniano comum é o ramo vestibular do oitavo nervo (mais de 85% dos casos). Apresentamos o relato de caso de um paciente portador de schwannoma que se estende da fossa pterigopalatina até a órbita, com queixa de dor facial no trajeto do ramo oftálmico do nervo trigêmeo. Schwannomas representam 1–2% de todas as neoplasias da órbita e schwannomas trigeminais são extremamente raros, respondendo por menos de 0,5% de todos os tumores intracranianos.

Keywords

schwannoma - orbital schwannoma - ophthalmic schwannoma - endoscopic transsphenoidal neurosurgery - subciliary approach

Palavras-chave

schwannoma - schwannoma orbital - schwannoma oftálmico - neurocirurgia endoscópica Transesfenoidal - abordagem subciliar

Full Text

References

References
1 Hilton DA, Hanemann CO. Schwannomas and their pathogenesis. Brain Pathol 2014; 24 (03) 205-220
2 Caramanti RL, Goes MJ, Chaddad F. et al. Orbital Schwannoma: Case Report and Review. Arq Bras Neurocir Brazilian Neurosurg. 2019; 10-13
3 Mahore A, Ramdasi R, Chagla A, Tikeykar V. Intraconal optic sheath schwannoma: report of two cases. Br J Neurosurg 2019; 33 (01) 101-103
4 Iida Y, Sakata K, Kobayashi N, Tatezuki J, Manaka H, Kawasaki T. Orbital Abducens Nerve Schwannoma: A Case Report and Review of the Literature. NMC Case Rep J 2016; 3 (04) 107-109
5 Montano N, Lauretti L, D'Alessandris QG. et al. Orbital Tumors: Report of 70 Surgically Treated Cases. World Neurosurg 2018; 119: e449-e458
6 Wang Y, Xiao LH. Orbital schwannomas: findings from magnetic resonance imaging in 62 cases. Eye (Lond) 2008; 22 (08) 1034-1039
7 Agarwal A. Intracranial trigeminal schwannoma. Neuroradiol J 2015; 28 (01) 36-41
8 Pollack IF, Sekhar LN, Jannetta PJ, Janecka IP. Neurilemomas of the trigeminal nerve. J Neurosurg 1989; 70 (05) 737-745
9 Borges A, Casselman J. Imaging the trigeminal nerve. Eur J Radiol 2010; 74 (02) 323-340
10 Bathla G, Hegde AN. The trigeminal nerve: an illustrated review of its imaging anatomy and pathology. Clin Radiol 2013; 68 (02) 203-213
11 Louis DN, Perry A, Reifenberger G. et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol 2016; 131 (06) 803-820
12 Young SM, Kim YD, Hwang SS, Woo KI. Orbital Schwannoma With Atypical Presentation. J Craniofac Surg 2018; 29 (03) e224-e226
13 Albert P, Patel J, Badawy K. et al. Peripheral Nerve Schwannoma: A Review of Varying Clinical Presentations and Imaging Findings. J Foot Ankle Surg 2017; 56 (03) 632-637
14 Strowd III RE, Blakeley JO. Common Histologically Benign Tumors of the Brain. Continuum (Minneap Minn) 2017; 23 (06) Neuro-oncology 1680-1708
15 Skolnik AD, Loevner LA, Sampathu DM. et al. Cranial Nerve Schwannomas: Diagnostic Imaging Approach. Radiographics 2016; 36 (05) 1463-1477
16 Kim KS, Jung JW, Yoon KC, Kwon YJ, Hwang JH, Lee SY. Schwannoma of the Orbit. Arch Craniofac Surg 2015; 16 (02) 67-72
17 Tezer MS, Ozcan M, Han O, Unal A, Ozlugedik S. Schwannoma originating from the infraorbital nerve: a case report. Auris Nasus Larynx 2006; 33 (03) 343-345
18 Young SM, Kim YD, Jeon GS, Woo KI. Orbital Frontal Nerve Schwannoma-Distinctive Radiological Features. Am J Ophthalmol 2018; 186: 41-46
19 Madrid-Sánchez AJ, Castillo-Rangel C, Contreras-Ayala ML, Ruiz-García E, Castillo-Castro AK, Ramírez-Aguilar R. Schwannoma trigeminal maxilar. Presentación de un caso y revisión de la literatura. Cir y Cir (English Ed) 2017; 85 (01) 49-52
20 MacNally SP, Rutherford SA, Ramsden RT, Evans DG, King AT. Trigeminal schwannomas. Br J Neurosurg 2008; 22 (06) 729-738
21 Yoshida K, Kawase T. Trigeminal neurinomas extending into multiple fossae: surgical methods and review of the literature. J Neurosurg 1999; 91 (02) 202-211
22 Xu F, Pan S, Alonso F, Dekker SE, Bambakidis NC. Intracranial Facial Nerve Schwannomas: Current Management and Review of Literature. World Neurosurg 2017; 100: 444-449
23 Petersen J, Gilain L, Coutu A, Saroul N. Frontal sinus schwannoma. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135 (03) 213-215
24 Karaman İ, Öner M, Kafadar IH, Güney A, Argun M. Surgical excision of peripheral nerve schwannomas: analysis of 11 patients. Acta Orthop Traumatol Turc 2015; 49 (02) 139-143
25 Raza SM, Donaldson AM, Mehta A, Tsiouris AJ, Anand VK, Schwartz TH. Surgical management of trigeminal schwannomas: defining the role for endoscopic endonasal approaches. Neurosurg Focus 2014; 37 (04) E17
26 Goel A, Shah A, Muzumdar D, Nadkarni T, Chagla A. Trigeminal neurinomas with extracranial extension: analysis of 28 surgically treated cases. J Neurosurg 2010; 113 (05) 1079-1084
27 Jacob JT, Carlson ML, Driscoll CL, Link MJ. Volumetric analysis of tumor control following subtotal and near-total resection of vestibular schwannoma. Laryngoscope 2016; 126 (08) 1877-1882
28 Puataweepong P, Dhanachai M, Hansasuta A. et al. Clinical outcomes of intracranial nonvestibular schwannomas treated with linac-based stereotactic radiosurgery and radiotherapy. Asian Pac J Cancer Prev 2016; 17 (07) 3271-3276
29 Bachelet JT, Shipkov H, Breton P, Berhouma M, Jouanneau E, Gleizal A. [Surgical approaches of tumors of the posterior cone of the orbit]. Rev Stomatol Chir Maxillofac Chir Orale 2016; 117 (02) 89-95