Therapieresistenter Gesichtsschmerz durch ein Hirnstammkavernom

Jp, Stellmann; Kuhn, M; Töpper, Rudolph

doi:10.1055/s-2007-980088

Cited by 13 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, pharmacotherapy could be considered for these two types, and carbamazepine and gabapentin are effective for relieving pain (8, 9). In one case, pain of a patient with type S cavernoma disappeared spontaneously (11). Surgical risk was acceptable in our case as it was type C, and resection via the retrosigmoid approach that can expose the lesion sufficiently is the most appropriate strategy for such cases.…”

mentioning

confidence: 66%

“…The causes of trigeminal neuralgia (TN) include microvascular compression and compression due to space-occupying lesions, multiple sclerosis, and herpes zoster (4). Only 15 cases of cavernoma presenting with TN have been previously reported (3,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Here, we report a rare case of cavernoma manifesting with TN.…”

Section: Introductionmentioning

confidence: 80%

See 1 more Smart Citation

Trigeminal neuralgia caused by cavernoma: A case report with literature review

et al. 2022

View full text Add to dashboard Cite

Cavernoma is the second most common cerebrovascular lesion. Cavernoma involving the cranial nerves is very rare. Only 15 cases of cavernoma presenting with trigeminal neuralgia (TN) have been previously reported. Here, we report a rare case of cavernoma manifesting with TN. A young female patient with a 15-day history of right-sided lancinating pain in the face, difficulty in opening the mouth, and hearing dysesthesia. Magnetic resonance imaging (MRI) revealed a well-demarcated lesion in the cerebellopontine angle related closely to the root of the trigeminal nerve. The initial impression was that of a neurinoma. The lesion was surgically resected via the retrosigmoid approach, postoperative pathological analysis confirmed the diagnosis of cavernoma, and the patient's pain and difficulty in opening the mouth resolved completely. We presented the 16th documented case of cavernoma with TN. Although cavernoma involving the trigeminal nerve is extremely rare, this diagnosis should be taken into consideration when a lesion in the cerebellopontine angle is detected on MRI, and the clinical manifestation is consistent with that of secondary TN. Specialized MRI sequences, such as susceptibility weighted imaging (SWI), gradient echo T2, and constructive interference in steady-state (CISS)-weighted imaging, aid in establishing the diagnosis. Resection via craniotomy may be the primary management strategy for cavernoma causing TN. In addition, gamma knife radiosurgery (GKRS) and percutaneous balloon compression (PBC) may ameliorate the pain to some extent.

show abstract

mentioning

confidence: 66%

Section: Introductionmentioning

confidence: 80%

Trigeminal neuralgia caused by cavernoma: A case report with literature review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Trigeminal CM are extremely rare with only 17 cases reported in literature (2,4,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Majority of these cases presented with trigeminal neuralgia and were treated with surgical resection.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Recurrent pediatric cavernous malformation of the trigeminal nerve

Harty,

Baqai,

Sajjad

et al. 2023

Front. Surg.

View full text Add to dashboard Cite

BackgroundMost cavernous malformations (CM) usually involve the parenchyma and rarely occur in cranial nerves. Recurrence of CM associated with cranial nerves after surgical resection has not been previously reported.Case descriptionThis paper describes the case of an 11-year-old girl who presented with left otalgia and headache because of a left trigeminal cavernous malformation. She underwent radical resection via a left retrosigmoid approach while sparing the trigeminal nerve. Surveillance imaging at 18 months demonstrated recurrence along the length of the trigeminal nerve into Meckel's cave with significant extension into the middle cerebellar peduncle. Subsequent re-operation via an extended middle fossa approach with anterior petrosectomy enabled complete resection with division of the trigeminal nerve. Postoperatively, she had a transient left facial paresis, and right hemiparesis that resolved within 48 h.ConclusionThis case highlights the importance of close postoperative surveillance in CM associated with cranial nerves as recurrence after nerve-sparing resection is possible. Surgical treatment due to the morphology of significant recurrence required the use of a complex skull base approach through a new corridor to achieve optimal clinical outcome.

show abstract

“…described a patient with a small intramedullary cavernoma in the brainstem that manifested with facial pain, hypoesthesia, and ptosis. [ 5 ] The pain resolved spontaneously and surgery was not performed. Another case of trigeminal neuralgia caused by an intramedullary lesion was described by Shuhui et al .…”

Section: Discussionmentioning

confidence: 99%

Facial pain as an initial manifestation of intramedullary cervical spinal cord tumor: A case report and literature review

Dzhafarov¹,

Рзаев

Мойсак

et al. 2020

Surgical Neurology International

View full text Add to dashboard Cite

Background: Facial pain resembling trigeminal neuralgia is not a common clinical feature of cervical spinal cord tumor. Depending on nature of the facial pain, differential diagnosis tends to include neurovascular conflict, multiple sclerosis, cerebellopontine angle tumors, herpes zoster, facial injuries, and other conditions involving trigeminal nerve, ganglion, and root. Here, we present a unique case of pain in trigeminal distribution due to an intramedullary tumor in the upper cervical spinal cord. Case Description: A 27-year-old male was admitted with complaints of intense facial pain on the right side lasting for several years. MRI revealed an intramedullary lesion at the C1 level and no signs of a neurovascular conflict or a demyelination. This lesion was removed microsurgically, with the subtotal resection immediately abolishing the pain and causing no additional neurological deficit. Histological analysis revealed ganglioglioma, Grade 1. After 5-day hospital stay, the patient was discharged home; 2-year follow-up showed no tumor recurrence on MRI and persistent relief of facial pain. Conclusion: Secondary trigeminal neuralgia may be explained by a pathological process in vicinity of the spinal trigeminal nuclei. Removing the tumor may be expected to provide complete and lasting pain relief.

show abstract

Therapieresistenter Gesichtsschmerz durch ein Hirnstammkavernom

Cited by 13 publications

References 7 publications

Trigeminal neuralgia caused by cavernoma: A case report with literature review

Trigeminal neuralgia caused by cavernoma: A case report with literature review

Case Report: Recurrent pediatric cavernous malformation of the trigeminal nerve

Facial pain as an initial manifestation of intramedullary cervical spinal cord tumor: A case report and literature review

Contact Info

Product

Resources

About