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Clinicopathologic Reports, Case Reports, and Small Case Series
October 1, 2005

Bilateral, Localized Orbital Neurofibromas and Charcot-Marie-Tooth Disease

Arch Ophthalmol. 2005;123(10):1443-1445. doi:10.1001/archopht.123.10.1443

Localized neurofibromas are rare in the orbit and, unlike plexiform neurofibromas, are not typically associated with von Recklinghausen neurofibromatosis. To our knowledge, bilaterality of such localized neurofibromas has been reported only once.1 We report a patient known to have Charcot-Marie-Tooth disease (CMTD) who developed multiple localized neurofibromas in both orbits.

A 35-year-old man, known to have CMTD polyneuropathy since the age of 12 years, was referred to us because of the accidental finding of bilateral orbital tumors on magnetic resonance imaging of the brain. The brain imaging had been requested by a neurologist after the patient developed a right-sided trigeminal neuralgia.

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