Spontaneous Meckel's cave hematoma: A rare cause of trigeminal neuralgia

BACKGROUND: The most common etiology of classic trigeminal neuralgia (TN) is vascular compression. However, other causes must be considered. Among these, spontaneous hematoma of the Meckel's cave (MC) causing symptomatic TN is very rare. CASE DESCRIPTION: We present the case of a 60-year-old wo...

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Detalles Bibliográficos
Autores principales: Alafaci, Concetta, Grasso, Giovanni, Granata, Francesca, Marino, Daniele, Salpietro, Francesco M., Tomasello, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Surgical Neurology International: Unique Case Observations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604649/
https://www.ncbi.nlm.nih.gov/pubmed/26539319
http://dx.doi.org/10.4103/2152-7806.166776
Descripción
Sumario:BACKGROUND: The most common etiology of classic trigeminal neuralgia (TN) is vascular compression. However, other causes must be considered. Among these, spontaneous hematoma of the Meckel's cave (MC) causing symptomatic TN is very rare. CASE DESCRIPTION: We present the case of a 60-year-old woman with a 2-month history of left TN and diplopia. Neuroradiological examinations revealed a well-defined hematoma in the left MC. The patient underwent surgical decompression with a progressive neurological improvement. CONCLUSION: Despite the number of lesions potentially affecting the MC, spontaneous hemorrhage is rare but should be taken into account in the differential diagnosis.

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