Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Pereira de Morais, Nuno Miguel, Mascarenhas, António Lino Rodrigues, Soares-Fernandes, João Paulo, Moreira da Costa, José António
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
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
_version_ 1782246996880392192
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
work_keys_str_mv AT pereirademoraisnunomiguel cranialnervecavernousmalformationscausingtrigeminalneuralgiaandchiasmalapoplexyreportof2casesandreviewoftheliterature
AT mascarenhasantoniolinorodrigues cranialnervecavernousmalformationscausingtrigeminalneuralgiaandchiasmalapoplexyreportof2casesandreviewoftheliterature
AT soaresfernandesjoaopaulo cranialnervecavernousmalformationscausingtrigeminalneuralgiaandchiasmalapoplexyreportof2casesandreviewoftheliterature
AT moreiradacostajoseantonio cranialnervecavernousmalformationscausingtrigeminalneuralgiaandchiasmalapoplexyreportof2casesandreviewoftheliterature