6533b872fe1ef96bd12d3b2d
RESEARCH PRODUCT
Typical trigeminal neuralgia by an atypical compression: case report and review of the literature.
Francesco TomaselloF. CacciolaGerardo CarusoGiovanni GrassoMarcello PassalacquaFilippo Giambartinosubject
AdultMalemedicine.medical_specialtytypical trigeminal neuralgiaSphenoid bonePainMagnetic resonance angiographyArachnoid cystTrigeminal neuralgiaSphenoid BonemedicineHumansCranial nerve diseaseArachnoid cyst; Conservative treatment; Trigeminal neuralgia; Adult; Analgesics Non-Narcotic; Carbamazepine; Cranial Nerve Diseases; Humans; Magnetic Resonance Angiography; Magnetic Resonance Imaging; Male; Nerve Compression Syndromes; Pain; Sphenoid Bone; Treatment Outcome; Trigeminal Neuralgia; Neurology (clinical); SurgeryPathologicalmedicine.diagnostic_testbusiness.industrySettore MED/27 - NeurochirurgiaNerve Compression SyndromesCarbamazepineAnalgesics Non-NarcoticTrigeminal Neuralgiamedicine.diseaseMagnetic Resonance ImagingCranial Nerve Diseasesnervous system diseasesSurgeryNerve compression syndromebody regionsCarbamazepineTreatment OutcomeSurgeryNeurology (clinical)medicine.symptombusinessMagnetic Resonance Angiographymedicine.drugdescription
Aim Trigeminal neuralgia is a disabling form of facial pain that causes a considerable discomfort and a marked reduction in the quality of life. Although neurovascular compression is often associated with trigeminal neuralgia, other intracranial pathologies can result in compression along the nerve. Case description The authors report a case of a patient suffering from a typical left trigeminal neuralgia affecting both the second and the third branches. Neuroradiological examinations showed the presence of an arachnoid cyst located in the left temporal lobe, contiguous with the Meckel's cave, eroding the greater wing of the sphenoid bone. Following a meticulous decision-making process the patient underwent conservative treatment with success. A properly modulation of the drug dosage allowed pain relief to be achieved. Conclusion This is a rare case reporting a typical trigeminal neuralgia by an arachnoid cyst of the Meckel's cave mimicking a neurovascular compression syndrome. Our findings, behind the review of the current literature, point out the importance of such a pathological condition when dealing with patients affected by cranial nerve dysfunction syndrome.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2014-01-01 |