Enhancing 5th cranial nerve

Case contributed by Dr Andrew Lawson

Presentation

Retro-orbital headache.

Patient Data

Age: 54
Gender: Female
MRI

Enhancing right trigeminal nerve as it courses through the skull base at foramen rotundum.

Case Discussion

Unfortunately we do not know the diagnosis yet, but it is a good example of perineural enhancement.

The differential to consider would be perineural tumour spread from a head and neck tumour eg squamous cell carcinoma or lymphoma.

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Case information

rID: 25860
Case created: 12th Nov 2013
Last edited: 29th Sep 2015
Inclusion in quiz mode: Included

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