Abstract
A 44-year-old man presented with right hypoglobus, proptosis, and diplopia 15 years after experiencing facial trauma (Fig A). Magnetic resonance imaging revealed 3 well-defined spherical nodules along the course of the right frontal nerve, and one along the course of the nasociliary nerve, that were hypointense on T1- and hyperintense on T2-weighted images (Fig B). An eyebrow keyhole orbitocranial approach was performed to resect all the lesions (Fig C). Histopathology revealed exuberant proliferation of variably sized, haphazardly arranged, nerve twigs and fascicles with myelinated axons and Schwann cells, pathognomonic for traumatic neuroma (Fig D).
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