Cavernous malformation of the trigeminal nerve manifesting with trigeminal neuralgia: case report.

Abstract:

OBJECTIVE AND IMPORTANCE:We describe a patient with a cavernous malformation within the trigeminal nerve at the nerve root entry zone who presented with trigeminal neuralgia. CLINICAL PRESENTATION:A 52-year-old woman sought treatment after experiencing dizziness and lancinating left facial pain for almost a year. Neurological examination revealed diminished sensation in the distribution of the trigeminal nerve on the left. Magnetic resonance imaging demonstrated a minimally enhancing lesion affecting the trigeminal nerve. INTERVENTION:The patient underwent a retrosigmoid craniotomy. At the nerve root entry zone, the trigeminal nerve was edematous with hemosiderin staining. The lesion, which was resected with microsurgical technique, had the appearance of a cavernous malformation on gross and histological examination. The patient's pain improved significantly after resection. CONCLUSION:Cavernous malformations can afflict the trigeminal nerve and cause trigeminal neuralgia. Microsurgical excision can be performed safely and is associated with improvement in symptoms.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Deshmukh VR,Hott JS,Tabrizi P,Nakaji P,Feiz-Erfan I,Spetzler RF

keywords:

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

E623; discussion E623

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

56

pub_type

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