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Intracranial neuromuscular choristoma: Report of a case with literature review
Authors:Antonella Coli  Mariangela Novello  Gianpiero Tamburrini  Manila Antonelli  Felice Giangaspero  Libero Lauriola
Institution:1. Department of Anatomic Pathology, Catholic University, Rome, Italy;2. Department of Pediatric Neurosurgery, Catholic University, Rome, Italy;3. Department of Radiological, Oncological and Anatomo‐Pathological Sciences, Sapienza, University of Rome, Rome, Italy;4. IRCCS Neuromed, Pozzilli (IS), Rome, Italy
Abstract:Neuromuscular choristoma (NMC), also called neuromuscular hamartoma or nerve rhabdomyoma, is a rare lesion of the spinal and cranial nerves composed of skeletal muscle intimately associated with nerve fibers. Its origin has not been precisely clarified and a malformative event, resulting from aberrant differentiation or a true neoplastic growth, have been proposed by authors. We hereby present a cerebellopontine angle NMC enlarging the eighth cranial nerve in a 3‐year‐old child, that histologically appeared composed of a large amount of striated muscle mixed with nerve fibers. We also provide a review of the intracranial NMC cases reported in the literature and an analysis of proposed hypotheses to explain the presence of muscle cells in nerve trunks.
Keywords:choristoma  cranial nerves  neural crest  neuromuscular hamartoma  skeletal muscle
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