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Invisible compression, anterior fossa tumor causing trigeminal neuralgia
BACKGROUND: Trigeminal neuralgia secondary to posterior and middle fossae tumors, whether ipsilateral or contralateral, has been well described. However, this disabling disease has never been reported in the context of anterior fossa neoplasms. CASE DESCRIPTION: A 75-year-old female with right hemif...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053474/ https://www.ncbi.nlm.nih.gov/pubmed/33880211 http://dx.doi.org/10.25259/SNI_371_2020 |
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author | Esteban Garcia, Jesus Manuel Mato Mañas, David Marco De Lucas, Enrique Garcia Catalan, Guillermo Lopez Gomez, Patricia Santos Jimenez, Carlos Laez, Ruben Martin |
author_facet | Esteban Garcia, Jesus Manuel Mato Mañas, David Marco De Lucas, Enrique Garcia Catalan, Guillermo Lopez Gomez, Patricia Santos Jimenez, Carlos Laez, Ruben Martin |
author_sort | Esteban Garcia, Jesus Manuel |
collection | PubMed |
description | BACKGROUND: Trigeminal neuralgia secondary to posterior and middle fossae tumors, whether ipsilateral or contralateral, has been well described. However, this disabling disease has never been reported in the context of anterior fossa neoplasms. CASE DESCRIPTION: A 75-year-old female with right hemifacial pain was diagnosed with an anterior clinoid meningioma. Despite neuroimaging did not show any apparent anatomical or neurovascular conflict, a detailed MRI analysis revealed a V3 hyperintensity. Not only symptoms completely resolved after surgical resection but also this radiological sign disappeared. Nowadays, the patient remains asymptomatic and V3 hyperintensity has not reappeared during her follow-up. CONCLUSION: A surgical definitive treatment can be offered to patients suffering from trigeminal neuralgia secondary to lesions adjacent to Gasserian ganglion or trigeminal branches. In this respect, posterior and middle fossae tumors are well-reported etiologies. Nevertheless, in the absence of evident compression, other neoplasms located in the vicinity of these critical structures and considered as radiological findings may be involved in trigeminal pain. Microvascular and pressure gradient changes could be an underlying cause of these symptoms in anterior skull base lesions. Here, we report the case of a patient with uncontrollable hemifacial pain resolved after anterior clinoid meningioma removal. |
format | Online Article Text |
id | pubmed-8053474 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-80534742021-04-19 Invisible compression, anterior fossa tumor causing trigeminal neuralgia Esteban Garcia, Jesus Manuel Mato Mañas, David Marco De Lucas, Enrique Garcia Catalan, Guillermo Lopez Gomez, Patricia Santos Jimenez, Carlos Laez, Ruben Martin Surg Neurol Int Case Report BACKGROUND: Trigeminal neuralgia secondary to posterior and middle fossae tumors, whether ipsilateral or contralateral, has been well described. However, this disabling disease has never been reported in the context of anterior fossa neoplasms. CASE DESCRIPTION: A 75-year-old female with right hemifacial pain was diagnosed with an anterior clinoid meningioma. Despite neuroimaging did not show any apparent anatomical or neurovascular conflict, a detailed MRI analysis revealed a V3 hyperintensity. Not only symptoms completely resolved after surgical resection but also this radiological sign disappeared. Nowadays, the patient remains asymptomatic and V3 hyperintensity has not reappeared during her follow-up. CONCLUSION: A surgical definitive treatment can be offered to patients suffering from trigeminal neuralgia secondary to lesions adjacent to Gasserian ganglion or trigeminal branches. In this respect, posterior and middle fossae tumors are well-reported etiologies. Nevertheless, in the absence of evident compression, other neoplasms located in the vicinity of these critical structures and considered as radiological findings may be involved in trigeminal pain. Microvascular and pressure gradient changes could be an underlying cause of these symptoms in anterior skull base lesions. Here, we report the case of a patient with uncontrollable hemifacial pain resolved after anterior clinoid meningioma removal. Scientific Scholar 2021-03-17 /pmc/articles/PMC8053474/ /pubmed/33880211 http://dx.doi.org/10.25259/SNI_371_2020 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Esteban Garcia, Jesus Manuel Mato Mañas, David Marco De Lucas, Enrique Garcia Catalan, Guillermo Lopez Gomez, Patricia Santos Jimenez, Carlos Laez, Ruben Martin Invisible compression, anterior fossa tumor causing trigeminal neuralgia |
title | Invisible compression, anterior fossa tumor causing trigeminal neuralgia |
title_full | Invisible compression, anterior fossa tumor causing trigeminal neuralgia |
title_fullStr | Invisible compression, anterior fossa tumor causing trigeminal neuralgia |
title_full_unstemmed | Invisible compression, anterior fossa tumor causing trigeminal neuralgia |
title_short | Invisible compression, anterior fossa tumor causing trigeminal neuralgia |
title_sort | invisible compression, anterior fossa tumor causing trigeminal neuralgia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053474/ https://www.ncbi.nlm.nih.gov/pubmed/33880211 http://dx.doi.org/10.25259/SNI_371_2020 |
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