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Case of microarteriovenous malformation-induced trigeminal neuralgia treated with radiosurgery

Radiosurgery to the right fifth cranial nerve was performed with the Gamma Knife on a 39- year-old patient who presented with classic symptoms of trigeminal neuralgia (TN), but was found on imaging studies to harbour a small intrinsic vascular malformation within the nerve. Based on size and drainag...

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Detalles Bibliográficos
Autores principales: Anderson, W. S., Wang, P. P., Rigamonti, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476073/
https://www.ncbi.nlm.nih.gov/pubmed/16897621
http://dx.doi.org/10.1007/s10194-006-0306-2
Descripción
Sumario:Radiosurgery to the right fifth cranial nerve was performed with the Gamma Knife on a 39- year-old patient who presented with classic symptoms of trigeminal neuralgia (TN), but was found on imaging studies to harbour a small intrinsic vascular malformation within the nerve. Based on size and drainage, the arteriovenous malformation (AVM) was Spetzler-Martin Grade III and no previous history of bleeding was reported. The patient had failed a trial of carbamazepine, and no surgical procedures had been performed. A decrease in symptoms was reported by the 6-month follow- up. A review of the literature on microAVM-induced TN is provided as well as a discussion of management.