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Trigeminal nerve haemangioma eroding the petrous carotid canal

Published online by Cambridge University Press:  28 January 2009

I Saliba ,
F El Fata ,
F Berthelet  and
R Moumdjian
I Saliba*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Centre Hospitalier de l'Université de Montréal – Notre-Dame Hospital, Montreal, Quebec, Canada
F El Fata
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Centre Hospitalier de l'Université de Montréal – Notre-Dame Hospital, Montreal, Quebec, Canada
F Berthelet
Affiliation:
Department of Pathology, Centre Hospitalier de l'Université de Montréal – Notre-Dame Hospital, Montreal, Quebec, Canada
R Moumdjian
Affiliation:
Department of Neurosurgery, Centre Hospitalier de l'Université de Montréal – Notre-Dame Hospital, Montreal, Quebec, Canada
*
Address for correspondence: Dr Issam Saliba, CHUM – Hôpital Notre-Dame, Otorhinolaryngology Department, 1560 Sherbrooke Street East, Montreal, QC H2L 4M1, Canada. Fax: +1 514 737 4822 E-mail: issam.saliba@umontreal.ca
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Abstract

Objective:

To report the first case of mandibular branch haemangioma of the trigeminal nerve causing erosion of the petrous carotid canal. The radiological and histological findings in this case are reviewed.

Case report:

A 60-year-old woman presented with severe, right-sided facial pain and paraesthesia. There were no associated symptoms of facial weakness or diplopia. A magnetic resonance imaging scan with gadolinium enhancement was performed. This showed a lesion slightly compressing the right Meckel's cave and eroding the right petrous carotid canal, occupying the foramen ovale and extending to the pterygoid muscle. The lesion was removed via a subtemporal approach.

Conclusion:

Haemangiomas are usually found on the skin and in other soft tissues. However, this rare tumour should also be considered in the differential diagnosis of lesions occupying Meckel's cave and the foramen ovale.

Keywords

Trigeminal NerveHemangiomaTemporal Bone
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , pp. 1258 - 1261
Copyright
Copyright © JLO (1984) Limited 2009

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