Rhabdomyomatous mesenchymal hamartoma of the face causing trigeminal neuralgia

Leon Ray White, Vaidehi Agrawal, Lisa Sutton, Aiysha C. Balbosa

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objective: Unusual clinical course Background: Rhabdomyomatous mesenchymal hamartoma (RMH) is a benign, potentially pigmented lesion that occurs in the head and neck region. It generally consists of haphazardly arranged skeletal muscle with adipose tissue, blood vessels, collagen and nerve fibers and is largely asymptomatic. Trigeminal neuralgia is pain due to compression of the trigeminal nerve. TN may be idiopathic or associated with lesion-mediated compression. Case Report: We describe the case of a 14-year-old female presenting with trigeminal neuralgia (TN) associated with RMH. On initial consultation, the patient presented with a history of right-sided lower facial swelling, numbness, and pain. Evaluation by various specialists confirmed TN. Surgical resection of the lesion resolved the condition and pathology confirmed RMH. Conclusions: This is the first case report demonstrating RMH-mediated TN. Surgical resection of the RMH is a safe management approach for this diagnosis.

Original languageEnglish (US)
Pages (from-to)338-340
Number of pages3
JournalAmerican Journal of Case Reports
StatePublished - Jun 3 2015
Externally publishedYes


  • Acute pain
  • Craniofacial abnormalities
  • Pediatrics
  • Trigeminal nerve

ASJC Scopus subject areas

  • General Medicine


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