Skull Base 2007; 17(5): 324
DOI: 10.1055/s-2007-986432
© Thieme Medical Publishers

Commentary [Trigeminal Amyloidoma: Case Report and Review of the Literature]

Laligam N. Sekhar1
  • 1Department of Neurosurgery, University of Washington, Harborview Medical Center, Seattle, Washington
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Publication History

Publication Date:
07 September 2007 (online)

The authors have described a rare condition involving the lateral wall of the cavernous sinus and trigeminal nerve. Because of the patient's symptoms and the location involved, the lesion could be mistaken for a trigeminal schwannoma or chondrosarcoma. However, the radiological features appeared to be quite distinct-the lesion was hypointense or isointense on T2-weighted MRI, in contrast to these other two tumors. The authors' strategy of extraneural resection and nerve decompression appears to be a good one, especially if the diagnosis can be made by frozen section, and the tumor is distinguished from malignant lesions such as adenoid cystic carcinoma.