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Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia

Trigeminal neuralgia (TN) presents with symptoms of intense recurrent shock-like brief pain localized to specific areas of the face innervated by the fifth cranial nerve. The pathology of trigeminal neuralgia is attributed to the fifth cranial nerve compression or demyelination. Most cases of this d...

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Autores principales: Lim, Phoebe, Eraky, Akram M, Coss, Dylan, Zwagerman, Nathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833625/
https://www.ncbi.nlm.nih.gov/pubmed/36644049
http://dx.doi.org/10.7759/cureus.32414
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author Lim, Phoebe
Eraky, Akram M
Coss, Dylan
Zwagerman, Nathan
author_facet Lim, Phoebe
Eraky, Akram M
Coss, Dylan
Zwagerman, Nathan
author_sort Lim, Phoebe
collection PubMed
description Trigeminal neuralgia (TN) presents with symptoms of intense recurrent shock-like brief pain localized to specific areas of the face innervated by the fifth cranial nerve. The pathology of trigeminal neuralgia is attributed to the fifth cranial nerve compression or demyelination. Most cases of this diagnosis are not due to bony structures, making this case an uncommon presentation of trigeminal neuralgia. Herein, we present a case of trigeminal neuralgia due to an intraosseous meningioma that formed along the left petrous bone, resulting in trigeminal nerve compression. On head computed tomography (CT), osteomatous growths along the left petrous bone were noticed compressing the trigeminal nerve. After trigeminal nerve decompression and drilling out the protruding part of the petrous bone through middle cranial fossa craniotomy, the patient’s symptoms were completely improved postoperatively and at the two-month follow-up. To our knowledge, there are only four reported cases of trigeminal neuralgia caused by petrous bone compression in the literature. We emphasize the significance of considering petrous bone lesions as a cause of trigeminal neuralgia.
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spelling pubmed-98336252023-01-12 Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia Lim, Phoebe Eraky, Akram M Coss, Dylan Zwagerman, Nathan Cureus Neurology Trigeminal neuralgia (TN) presents with symptoms of intense recurrent shock-like brief pain localized to specific areas of the face innervated by the fifth cranial nerve. The pathology of trigeminal neuralgia is attributed to the fifth cranial nerve compression or demyelination. Most cases of this diagnosis are not due to bony structures, making this case an uncommon presentation of trigeminal neuralgia. Herein, we present a case of trigeminal neuralgia due to an intraosseous meningioma that formed along the left petrous bone, resulting in trigeminal nerve compression. On head computed tomography (CT), osteomatous growths along the left petrous bone were noticed compressing the trigeminal nerve. After trigeminal nerve decompression and drilling out the protruding part of the petrous bone through middle cranial fossa craniotomy, the patient’s symptoms were completely improved postoperatively and at the two-month follow-up. To our knowledge, there are only four reported cases of trigeminal neuralgia caused by petrous bone compression in the literature. We emphasize the significance of considering petrous bone lesions as a cause of trigeminal neuralgia. Cureus 2022-12-11 /pmc/articles/PMC9833625/ /pubmed/36644049 http://dx.doi.org/10.7759/cureus.32414 Text en Copyright © 2022, Lim et al. https://creativecommons.org/licenses/by/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 Neurology
Lim, Phoebe
Eraky, Akram M
Coss, Dylan
Zwagerman, Nathan
Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia
title Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia
title_full Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia
title_fullStr Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia
title_full_unstemmed Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia
title_short Intraosseous Meningioma Along the Left Petrous Bone: A Rare Cause of Trigeminal Neuralgia
title_sort intraosseous meningioma along the left petrous bone: a rare cause of trigeminal neuralgia
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833625/
https://www.ncbi.nlm.nih.gov/pubmed/36644049
http://dx.doi.org/10.7759/cureus.32414
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