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J Neurol Surg Rep 2015; 76(02): e282-e286
DOI: 10.1055/s-0035-1566125
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia

Arthur Wang
1   Department of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United States
,
George Kleinman
2   Department of Pathology, New York Medical College, Westchester, Valhalla, New York, United States
,
Raj Murali
1   Department of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United States
,
John Wainwright
1   Department of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United States
,
Adesh Tandon
1   Department of Neurosurgery, New York Medical College, Westchester, Valhalla, New York, United States
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Publikationsverlauf

26. Mai 2015

19. August 2015

Publikationsdatum:
29. Oktober 2015 (online)

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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.

Keywords

metastatic renal cancer - renal cell carcinoma - trigeminal schwannoma - trigeminal neuralgia - cerebellopontine angle
 

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