[Oradlist] bilateral neurilemmoma??

[Garnet Packota]

I have also seen two similar cases.  We have not followed them for as 
long as Dr. Pharoah's patients, but again, no change over the period of 
time observed.

Michael Pharoah wrote:
>
> In our experience we have seen two cases of apparent enlargement of 
> the inferior alveolar canal, one was bilateral the other was 
> unilateral.  We proceeded with ct and mri imaging and did not find 
> conclusive evidence of either a vascular or neural neoplasm.  One case 
> we have followed for 10 years and there has been absolutely no change 
> and no symptoms.   We came to the conclusion that these represented a 
> variation of normal anatomy.
>
>  
>
> Mike Pharoah
>
>  
>
> Michael Pharoah
>
> Head, Oral Radiology Program
>
> Faculty of Dentistry
>
> University of Toronto
>
> please note new email address michael.pharoah at dentistry.utoronto.ca
>
> *From:* oradlist-bounces at lists.ucla.edu 
> [mailto:oradlist-bounces at lists.ucla.edu] *On Behalf Of *Abramovitch, 
> Kenneth
> *Sent:* Wednesday, May 06, 2009 9:55 AM
> *To:* Oral Radiology Discussion Group
> *Subject:* [Oradlist] bilateral neurilemmoma??
>
>  
>
> Colleagues,
>
>  
>
> Please review the following case and retain for your collection as 
> desired.
>
>  
>
> *Pt: 30 yr old Causacian female
> CC:  Right parotitis and right
>         TMJ symptomatology.  *
>
> The CBCT findings are negative in the right parotid /TMJ/preauricular 
> area.
>
>  
>
> Note the incidental finding of bilateral enlargement of the IAC.  
> These appear  as bilateral neurilemmomas.   There are no associated 
> symptoms.  There are also no signs of café-au-lait spots or 
> mucocutaneous nodular growths ruling out possible syndrome etiologies. 
>
>  
>
> Does anyone have an opinion on the possibility of a developmental or 
> anatomic etiology?   I would appreciate any comments on this case.
>
>  
>
> Thank you.
>
>  
>
> K. Abramovitch DDS, MS
> Houston, TX
>
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