Sophia Peng1, Mandana Behbahani2, Shelly Sharma2, Stacy Speck2, Nitin R Wadhwani3, Jeff C Rastatter4, Tord D Alden5,6,7. 1. Department of Neurological Surgery, University of Illinois at Chicago, Chicago, IL, USA. 2. Division of Neurosurgery, Ann & Robert H Lurie Children's Hospital, 225 E Chicago Ave, Box 28, Chicago, IL, 60611, USA. 3. Department of Pathology, Ann & Robert H Lurie Children's Hospital, Chicago, IL, USA. 4. Division of Otolaryngology, Ann & Robert H Lurie Children's Hospital, Chicago, IL, USA. 5. Division of Neurosurgery, Ann & Robert H Lurie Children's Hospital, 225 E Chicago Ave, Box 28, Chicago, IL, 60611, USA. TAlden@luriechildrens.org. 6. Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. TAlden@luriechildrens.org. 7. Division of Pediatric Neurosurgery, Ann & Robert H Lurie Children's Hospital, 225 E. Chicago Avenue, Chicago, IL, USA. TAlden@luriechildrens.org.
Abstract
PURPOSE: Benign triton tumors (BTTs) in the pediatric population are extremely rare occurrences. Paucity of data on BTTs poses both diagnostic and therapeutic challenges, particularly when found intracranially. METHODS: A case report of a 10-year-old male diagnosed with incidental maxillary trigeminal (V2) BTT is presented. We discuss radiographic and histopathological interpretations. Furthermore, we provide a brief review of current literature and historical background on pediatric trigeminal BTT diagnosis, histopathology, and management. RESULTS: Successful gross total resection of the tumor was achieved via Dolenc approach to the cavernous sinus. Management options with consideration of outcomes from the few prior cases reported in the literature are presented. CONCLUSION: Treatment of trigeminal nerve tumors requires a broad differential diagnosis and understanding rare tumors is essential in the diagnosis and treatment algorithm.
PURPOSE: Benign triton tumors (BTTs) in the pediatric population are extremely rare occurrences. Paucity of data on BTTs poses both diagnostic and therapeutic challenges, particularly when found intracranially. METHODS: A case report of a 10-year-old male diagnosed with incidental maxillary trigeminal (V2) BTT is presented. We discuss radiographic and histopathological interpretations. Furthermore, we provide a brief review of current literature and historical background on pediatric trigeminal BTT diagnosis, histopathology, and management. RESULTS: Successful gross total resection of the tumor was achieved via Dolenc approach to the cavernous sinus. Management options with consideration of outcomes from the few prior cases reported in the literature are presented. CONCLUSION: Treatment of trigeminal nerve tumors requires a broad differential diagnosis and understanding rare tumors is essential in the diagnosis and treatment algorithm.
Authors: Marie-Noëlle Hébert-Blouin; Bernd W Scheithauer; Kimberly K Amrami; Susan R Durham; Robert J Spinner Journal: J Neurosurg Date: 2011-08-05 Impact factor: 5.115