Trigeminal neuralgia in patients with cerebellopontine angle tumors: should we always blame the tumor? A case report and review of literature-Reference-Cited by-同舟云学术

Trigeminal neuralgia in patients with cerebellopontine angle tumors: should we always blame the tumor? A case report and review of literature

Published:2022-08-29 Issue:1 Volume:23 Page:213-216
ISSN:1877-8860
Container-title:Scandinavian Journal of Pain
language:en
Short-container-title:

Author:

Thirumalai Vasu Srivatsan¹,Retnathankom Ayyadurai²

Affiliation:

1. Department of Neurosurgery , Amrita Institute of Medical Sciences , Kochi , India

2. Neurosurgery , Amrita Institute of Medical Sciences and Research Centre: Amrita Institute of Medical Sciences , Kochi , India

Abstract

Abstract Objectives This report seeks to highlight a pitfall that may be encountered in the management of patients with trigeminal neuralgia with imaging showing both neurovascular conflict as well as tumors. Case presentation A case of a 53 year old male with simultaneous neurovascular conflict and a vestibular schwannoma with trigeminal neuralgia is presented and the management is discussed with reference to managing this particular subset. Pain was noted to be likely generated by neurovascular conflict and not by the tumor, which is usually not the case. Conclusions It is suggested that in such cases, microvascular decompression should always be performed in addition to removal of the tumor.

Publisher

Walter de Gruyter GmbH

Subject

Anesthesiology and Pain Medicine,Neurology (clinical)

Link

https://www.degruyter.com/document/doi/10.1515/sjpain-2021-0215/pdf

Reference21 articles.

1. Gambeta, E, Chichorro, JG, Zamponi, GW. Trigeminal neuralgia: an overview from pathophysiology to pharmacological treatments. Mol Pain 2020;16: 1744806920901890. Epub 2020/01/08 PubMed PMID: 31908187; PubMed Central PMCID: PMCPMC6985973. https://doi.org/10.1177/1744806920901890.

2. Bendtsen, L, Zakrzewska, JM, Abbott, J, Braschinsky, M, Stefano, GD, Donnet, A, et al.. European academy of neurology guideline on trigeminal neuralgia. Eur J Neurol 2019;26:831–49. https://doi.org/10.1111/ene.13950.

3. Jones, MR, Urits, I, Ehrhardt, KP, Cefalu, JN, Kendrick, JB, Park, DJ, et al.. A comprehensive review of trigeminal neuralgia. Curr Pain Headache Rep 2019;23:1–7. https://doi.org/10.1007/s11916-019-0810-0.

4. Liu, P, Liao, C, Zhong, W, Yang, M, Li, S, Zhang, W. Symptomatic trigeminal neuralgia caused by cerebellopontine angle tumors. J Craniofacial Surg 2017;28:e256–8. https://doi.org/10.1097/scs.0000000000003481.

5. Wei, Y, Zhao, W, Pu, C, Li, N, Cai, Y, Shang, H, et al.. Clinical features and long-term surgical outcomes in 39 patients withtumor-related trigeminal neuralgia compared with 360 patients with idiopathic trigeminal neuralgia. Br J Neurosurg 2017;31:101–6. https://doi.org/10.1080/02688697.2016.1233321.

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