NeurofibromaThe most common primary tumors are hemangioma, lymphangioma, neurofibroma, dermoid cyst, adenoid cystic carcinoma, optic nerve glioma, optic nerve meningioma, and benign mixed tumor of the lacrimal gland. Palpation of the nerve trunk to detect enlargement is a frequently forgotten part of the neurologic examination. In mononeuropathy or mononeuropathy multiplex, the entire course of the nerve trunk in question should be explored manually for focal thickening, for the presence of neurofibroma, point tenderness, or Tinel's phenomenon (generation of a tingling sensation in the sensory territory of the nerve by tapping along the course of the nerve trunk); and for pain elicited by stretching of the nerve trunk. Treatment of NeurofibromaIf left unchecked, a neurofibroma can cause severe nerve damage leading to loss of function to the area stimulated by that nerve. Surgical excision is curative. |
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