Decision-making in classic trigeminal neuralgia concurrent with a pontine cavernous malformation: Causal or coincidental association?
Neurocir. - Soc. Luso-Esp. Neurocir
; 26(2): 90-94, mar.-abr. 2015. ilus, tab
Article
in En
| IBECS
| ID: ibc-135038
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Trigeminal neuralgia is classically associated with neurovascular compression of the trigeminal nerve, at the root entry zone (REZ). However, patients are occasionally affected by intra-axial involvement of trigeminal sensory fibers caused by demyelinating diseases, strokes and, rarely, pontine cavernous malformations. We discuss the management strategies and decision-making process in a 55-year-old patient, affected by trigeminal neuralgia with 2 potential causative mechanisms: a neurovascular conflict at the trigeminal REZ and an ipsilateral cavernous malformation at the pontine nucleus of the trigeminal nerve
RESUMEN
La neuralgia del trigémino está clásicamente asociada con la compresión neurovascular del nervio trigémino, en la zona de entrada de la raíz (REZ). Sin embargo, los pacientes son ocasionalmente afectados por la implicación intra-axial de las fibras sensitivas del trigémino causadas por enfermedades desmielinizantes, accidentes cerebrovasculares, y raramente por malformaciones cavernosas pontinas. Se discuten las estrategias y la toma de decisiones en un paciente de 55 años de edad, afectado por la neuralgia del trigémino, con dos posibles mecanismos causales: un conflicto neurovascular en la zona de entrada de la raíz del trigémino y una malformación cavernosa en el núcleo pontino del trigémino ipsilateral
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Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Trigeminal Neuralgia
/
Brain Stem
/
Nerve Compression Syndromes
Type of study:
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Neurocir. - Soc. Luso-Esp. Neurocir
Year:
2015
Document type:
Article