Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature
Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon tumors that rarely occur in the orbit. Malignant orbital tumors are always a challenge to remove completely. We present the case of a 42-year man with painful movement of the left eye and restriction of adduction of the left eye causing...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2025-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1775973 |
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| author | Praveen M. Ganigi Arijit Chakraborty K.M. Bopanna Sathwik R. Shetty |
| author_facet | Praveen M. Ganigi Arijit Chakraborty K.M. Bopanna Sathwik R. Shetty |
| author_sort | Praveen M. Ganigi |
| collection | DOAJ |
| description | Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon tumors that rarely occur in the orbit. Malignant orbital tumors are always a challenge to remove completely. We present the case of a 42-year man with painful movement of the left eye and restriction of adduction of the left eye causing double vision. Magnetic resonance imaging (MRI) of the brain/orbit revealed intraconal tumor located inferomedial to the optic nerve. The imaging features were suggestive of schwannoma or cavernoma. Gross total resection of the tumor was done with an endoscopic endonasal intraconal approach. The histopathology revealed an MPNST. The patient received adjuvant radiotherapy and chemotherapy. His left eye adduction recovered completely and he had no local recurrence or systemic metastasis on follow-up evaluation. |
| format | Article |
| id | doaj-art-6751a399ee6348fca8301a47c16c5072 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-6751a399ee6348fca8301a47c16c50722025-08-20T01:57:34ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672025-03-01140107607910.1055/s-0043-1775973Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of LiteraturePraveen M. Ganigi0Arijit Chakraborty1https://orcid.org/0000-0003-1664-8998K.M. Bopanna2Sathwik R. Shetty3Manipal Hospital Bangalore, Bengaluru, Karnataka, IndiaManipal Hospital Bangalore, Bengaluru, Karnataka, IndiaDepartment of Neurosurgery, Manipal Hospital Bangalore, Bengaluru, Karnataka, IndiaManipal Hospital Bangalore, Bengaluru, Karnataka, IndiaMalignant peripheral nerve sheath tumors (MPNSTs) are uncommon tumors that rarely occur in the orbit. Malignant orbital tumors are always a challenge to remove completely. We present the case of a 42-year man with painful movement of the left eye and restriction of adduction of the left eye causing double vision. Magnetic resonance imaging (MRI) of the brain/orbit revealed intraconal tumor located inferomedial to the optic nerve. The imaging features were suggestive of schwannoma or cavernoma. Gross total resection of the tumor was done with an endoscopic endonasal intraconal approach. The histopathology revealed an MPNST. The patient received adjuvant radiotherapy and chemotherapy. His left eye adduction recovered completely and he had no local recurrence or systemic metastasis on follow-up evaluation.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1775973MPNSTextremely raremalignantintraconalendoscopic transnasalgross total |
| spellingShingle | Praveen M. Ganigi Arijit Chakraborty K.M. Bopanna Sathwik R. Shetty Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature Indian Journal of Neurosurgery MPNST extremely rare malignant intraconal endoscopic transnasal gross total |
| title | Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature |
| title_full | Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature |
| title_fullStr | Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature |
| title_full_unstemmed | Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature |
| title_short | Endoscopic Endonasal Approach to Orbital Malignant Peripheral Nerve Sheath Tumor: A Minimally Invasive Method for Rare Orbital Tumor—Case Report and Review of Literature |
| title_sort | endoscopic endonasal approach to orbital malignant peripheral nerve sheath tumor a minimally invasive method for rare orbital tumor case report and review of literature |
| topic | MPNST extremely rare malignant intraconal endoscopic transnasal gross total |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1775973 |
| work_keys_str_mv | AT praveenmganigi endoscopicendonasalapproachtoorbitalmalignantperipheralnervesheathtumoraminimallyinvasivemethodforrareorbitaltumorcasereportandreviewofliterature AT arijitchakraborty endoscopicendonasalapproachtoorbitalmalignantperipheralnervesheathtumoraminimallyinvasivemethodforrareorbitaltumorcasereportandreviewofliterature AT kmbopanna endoscopicendonasalapproachtoorbitalmalignantperipheralnervesheathtumoraminimallyinvasivemethodforrareorbitaltumorcasereportandreviewofliterature AT sathwikrshetty endoscopicendonasalapproachtoorbitalmalignantperipheralnervesheathtumoraminimallyinvasivemethodforrareorbitaltumorcasereportandreviewofliterature |