Boqaaiya Shadi, Raed Aman, Vidan Aviv, Beiruti Wiegler Karine, Cohen Yuval, Chassid Otzem
Ziv Medical Center; Department of Ophthalmology, Safed, 1311001, Israel.
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, 1311502, Israel.
Int Med Case Rep J. 2025 Feb 6;18:229-234. doi: 10.2147/IMCRJ.S506448. eCollection 2025.
This report presents a healthy 2.5-year-old child exhibiting headache, ptosis, exotropia, and left mydriasis. Initial neuroimaging, including computed tomography (CT), computed tomography angiography (CTA), and standardized magnetic resonance imaging (MRI), failed to identify any lesions; however, high-resolution MRI revealed an ovoid mass adjacent to the left proximal oculomotor nerve within the superior cavernous sinus. This case underscores the necessity for advanced imaging techniques and a thorough diagnostic approach to enhance understanding of this rare pediatric condition. Moreover, it highlights the limited documentation of pediatric oculomotor schwannomas, leading to an inadequate understanding of their diagnosis and management, and emphasizes the need for enhanced awareness and research to establish effective diagnostic protocols, particularly utilizing advanced neuroimaging techniques.
本报告介绍了一名健康的2.5岁儿童，其表现出头痛、上睑下垂、外斜视和左侧瞳孔散大。最初的神经影像学检查，包括计算机断层扫描（CT）、计算机断层血管造影（CTA）和标准化磁共振成像（MRI），均未发现任何病变；然而，高分辨率MRI显示在海绵窦上部靠近左侧动眼神经近端处有一个椭圆形肿块。该病例强调了先进成像技术和全面诊断方法对于增进对这种罕见儿科疾病理解的必要性。此外，它突出了儿童动眼神经鞘瘤文献记录有限，导致对其诊断和治疗的认识不足，并强调需要提高认识和开展研究以建立有效的诊断方案，特别是利用先进的神经影像学技术。
