Cartellieri M, Swoboda H
Department of Otorhinolaryngology, University of Vienna, Austria.
Eur Arch Otorhinolaryngol. 2000;257(7):396-8. doi: 10.1007/s004059900224.
Despite the extensive branching of the trigeminal nerve, solitary neurofibromas along its branches are a rare finding. We report our management of a neurofibroma of the right auriculotemporal nerve in a 46-year-old women. A chain of small nodules palpable in the right postauricular region was associated with increasing pain radiating into the postauricular and temporoparietal regions of her head. Magnetic resonance imaging and computed tomography showed several small ovoid lesions extending from the postauricular region to the infratemporal fossa. The lesions were removed surgically. The facial nerve adhered to the dorsal side of the largest nodule, but this could be removed without sequelae. The auriculotemporal nerve was identified as the nerve of origin and was removed together with the lesions. Histopathological examination was consistent with a neurofibroma with early plexiform cell formations. Clinical findings are discussed.
尽管三叉神经分支广泛，但沿其分支出现的孤立性神经纤维瘤却很少见。我们报告了对一名46岁女性右侧耳颞神经神经纤维瘤的治疗情况。在右侧耳后区域可触及一连串小结节，并伴有向其头部耳后和颞顶区域放射的疼痛加剧。磁共振成像和计算机断层扫描显示，有几个小的椭圆形病变从耳后区域延伸至颞下窝。这些病变通过手术切除。面神经附着于最大结节的背侧，但可以将其切除而不留下后遗症。耳颞神经被确定为起源神经，并与病变一起被切除。组织病理学检查结果与具有早期丛状细胞形成的神经纤维瘤一致。文中讨论了临床发现。
