Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia
Abstract We present an unusual case of a metastatic renal cell carcinoma (RCC) mimicking trigeminal schwannoma. The patient, with no prior history of RCC, presented with clinical symptoms and imaging consistent with trigeminal neuralgia secondary to trigeminal schwannoma. Magnetic resonance imaging...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2015-10-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1566125 |
| _version_ | 1818548817460461568 |
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| author | Arthur Wang George Kleinman Raj Murali John Wainwright Adesh Tandon |
| author_facet | Arthur Wang George Kleinman Raj Murali John Wainwright Adesh Tandon |
| author_sort | Arthur Wang |
| collection | DOAJ |
| description | Abstract
We present an unusual case of a metastatic renal cell carcinoma (RCC) mimicking trigeminal schwannoma. The patient, with no prior history of RCC, presented with clinical symptoms and imaging consistent with trigeminal neuralgia secondary to trigeminal schwannoma. Magnetic resonance imaging of the brain showed a large bilobed cystic/solid mass primarily in the cerebellopontine angle cistern, with extension into the left middle cranial fossa, Meckel cave, and left cavernous sinus. Following surgical excision, histopathology revealed the tumor to be an RCC infiltrating into the trigeminal nerve fascicles. Further imaging and investigation revealed widespread metastasis to the vertebral bodies and long bones. Metastatic RCC to the trigeminal nerve is rare. Despite the development of more effective treatment modalities, the prognosis of metastatic RCC remains poor. To our knowledge, this is the first reported case of RCC metastasizing to the trigeminal nerve fascicles. |
| first_indexed | 2024-12-12T08:25:14Z |
| format | Article |
| id | doaj.art-bf5b9ca7850b4081ab2c52472d938696 |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-12-12T08:25:14Z |
| publishDate | 2015-10-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-bf5b9ca7850b4081ab2c52472d9386962022-12-22T00:31:16ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662015-10-017602e282e28610.1055/s-0035-1566125Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal NeuralgiaArthur Wang0George Kleinman1Raj Murali2John Wainwright3Adesh Tandon4Department of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United StatesDepartment of Pathology, New York Medical College, Westchester, Valhalla, New York, United StatesDepartment of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United StatesDepartment of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United StatesDepartment of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United StatesAbstract We present an unusual case of a metastatic renal cell carcinoma (RCC) mimicking trigeminal schwannoma. The patient, with no prior history of RCC, presented with clinical symptoms and imaging consistent with trigeminal neuralgia secondary to trigeminal schwannoma. Magnetic resonance imaging of the brain showed a large bilobed cystic/solid mass primarily in the cerebellopontine angle cistern, with extension into the left middle cranial fossa, Meckel cave, and left cavernous sinus. Following surgical excision, histopathology revealed the tumor to be an RCC infiltrating into the trigeminal nerve fascicles. Further imaging and investigation revealed widespread metastasis to the vertebral bodies and long bones. Metastatic RCC to the trigeminal nerve is rare. Despite the development of more effective treatment modalities, the prognosis of metastatic RCC remains poor. To our knowledge, this is the first reported case of RCC metastasizing to the trigeminal nerve fascicles.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1566125metastatic renal cancerrenal cell carcinomatrigeminal schwannomatrigeminal neuralgiacerebellopontine angle |
| spellingShingle | Arthur Wang George Kleinman Raj Murali John Wainwright Adesh Tandon Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia Journal of Neurological Surgery Reports metastatic renal cancer renal cell carcinoma trigeminal schwannoma trigeminal neuralgia cerebellopontine angle |
| title | Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia |
| title_full | Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia |
| title_fullStr | Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia |
| title_full_unstemmed | Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia |
| title_short | Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia |
| title_sort | metastatic renal cell carcinoma mimicking trigeminal schwannoma in a patient presenting with trigeminal neuralgia |
| topic | metastatic renal cancer renal cell carcinoma trigeminal schwannoma trigeminal neuralgia cerebellopontine angle |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1566125 |
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