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Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature
BACKGROUND: Cavernous malformations (CMs) confined to the cranial nerves (CN) are extremely rare lesions. CASE DESCRIPTION: The authors report 2 cases of CMs, one involving the trigeminal nerve presenting with a 3 years history of a refractory right trigeminal neuralgia that was microsurgically rese...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475881/ https://www.ncbi.nlm.nih.gov/pubmed/23087821 http://dx.doi.org/10.4103/2152-7806.100864 |
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author | Pereira de Morais, Nuno Miguel Mascarenhas, António Lino Rodrigues Soares-Fernandes, João Paulo Moreira da Costa, José António |
author_facet | Pereira de Morais, Nuno Miguel Mascarenhas, António Lino Rodrigues Soares-Fernandes, João Paulo Moreira da Costa, José António |
author_sort | Pereira de Morais, Nuno Miguel |
collection | PubMed |
description | BACKGROUND: Cavernous malformations (CMs) confined to the cranial nerves (CN) are extremely rare lesions. CASE DESCRIPTION: The authors report 2 cases of CMs, one involving the trigeminal nerve presenting with a 3 years history of a refractory right trigeminal neuralgia that was microsurgically resected by a retromastoid approach with resolution of the neuralgia; and another CM involving the chiasma with an abrupt onset of vision loss with acute intralesional bleeding that was removed through a right pterional approach with vision improvement. CONCLUSION: Surgical resection is recommended in the context of progressive significant neurological deficit, emergency decompression as a result of recent hemorrhage for symptomatic relief or increase in size on serial magnetic resonance imaging (MRI). |
format | Online Article Text |
id | pubmed-3475881 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-34758812012-10-19 Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature Pereira de Morais, Nuno Miguel Mascarenhas, António Lino Rodrigues Soares-Fernandes, João Paulo Moreira da Costa, José António Surg Neurol Int Case Report BACKGROUND: Cavernous malformations (CMs) confined to the cranial nerves (CN) are extremely rare lesions. CASE DESCRIPTION: The authors report 2 cases of CMs, one involving the trigeminal nerve presenting with a 3 years history of a refractory right trigeminal neuralgia that was microsurgically resected by a retromastoid approach with resolution of the neuralgia; and another CM involving the chiasma with an abrupt onset of vision loss with acute intralesional bleeding that was removed through a right pterional approach with vision improvement. CONCLUSION: Surgical resection is recommended in the context of progressive significant neurological deficit, emergency decompression as a result of recent hemorrhage for symptomatic relief or increase in size on serial magnetic resonance imaging (MRI). Medknow Publications & Media Pvt Ltd 2012-09-13 /pmc/articles/PMC3475881/ /pubmed/23087821 http://dx.doi.org/10.4103/2152-7806.100864 Text en Copyright: © 2012 de Morais NMP. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Pereira de Morais, Nuno Miguel Mascarenhas, António Lino Rodrigues Soares-Fernandes, João Paulo Moreira da Costa, José António Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature |
title | Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature |
title_full | Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature |
title_fullStr | Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature |
title_full_unstemmed | Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature |
title_short | Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature |
title_sort | cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: report of 2 cases and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475881/ https://www.ncbi.nlm.nih.gov/pubmed/23087821 http://dx.doi.org/10.4103/2152-7806.100864 |
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