Pediatric dumbbell-shaped orbital schwannoma with extension to the cranial cavity: A case report and literature review

Shao, Yongjia; Xi, Qi; Cheng, Alexander H.‐D.; Qian, Moshu; Sh, Chu

doi:10.3389/fneur.2022.1071632

Cited by 1 publication

(1 citation statement)

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“…According to the literature, complete resection is the treatment of choice, with variations in the surgical approach. Outcomes are generally good, with no recurrence if complete resection can be achieved (13)(14)(15)(16)(17)(18)(19)(20)(21). The main details of pediatric schwannomas arising from different sites beyond the hypoglossal nerve are reported in Table 2.…”

Section: Discussionmentioning

confidence: 99%

Pediatric schwannoma of the hypoglossal nerve: a case report and narrative literature overview

Marcandella,

Boscarelli,

Murru

et al. 2024

Front. Oncol.

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Schwannomas are benign, slow-growing tumors originating from the Schwann cells of nerve sheaths. Extracranial schwannomas are rare, particularly in pediatric populations. Here, we report the case of a hypoglossal schwannoma in a 15-year-old male who experienced tongue paresthesia and fasciculations and difficulty swallowing two years before hospital admission. Magnetic resonance imaging showed an oval mass with sharp and regular limits of approximately 45 × 29 × 25 mm in the cranial portion of the right carotid adipose space, caudal to the right carotid and lateral foramen. The patient underwent surgery, and a histological examination confirmed a schwannoma of the hypoglossal nerve. Six months after surgery, the patient was symptom-free. The literature on schwannomas of the hypoglossal nerve is scarce, with only a few previously reported cases in the adult population. Despite their rarity, schwannomas should be considered in the differential diagnosis of masses located in the neck that present with lingual and occasionally auditory symptoms, even in pediatric patients. Surgical resection is recommended and has a low risk of long-term recurrence.

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