Trigeminal Neuralgia Due to Red Vein Draining a Supratentorial Arteriovenous Malformation: Case Report
نویسندگان
چکیده
Trigeminal neuralgia (TGN) is rarely caused by arteriovenous malformation (AVM). The AVMs causing TGN are reported mostly in the ipsilateral posterior fossa. The culprit vessels are dilated feeding artery or nidus itself. We present a rare case of TGN caused by dilated draining veins from a supratentorial AVM. The patient suffered from TGN with an incidentally found large AVM, which had been left untreated. The neuralgia was successfully relieved by microvascular decompression. Dilated red veins compressed the nerve at the root entry zone and distant cisternal portion of the nerve. Technically, transposition is not practical for fragile, dilated red veins with high pressure. Interposition is safer method in this case.
منابع مشابه
Secondary Trigeminal Neuralgia Caused by a Tentorial Dural Arteriovenous Fistula: A Case Report and Literature Review
Trigeminal neuralgia caused by a tentorial dural arteriovenous fistula has rarely been reported. The mechanism underlying the development of trigeminal neuralgia has been reported to be the compression of the root entry zone by the arterialized draining vein. However, the cases showing refractory or recurrent neuralgia could imply the presence of another underlying mechanism. We herein describe...
متن کاملChiari I malformation manifesting as bilateral trigeminal neuralgia: case report and review of the literature.
INTRODUCTION Trigeminal neuralgia (TN) is characterised by recurrent episodes of sudden, intense, usually unilateral, lancinating pain confined to the distribution of one or more branches of the trigeminal nerve. It is most commonly associated with compression of the trigeminal nerve root by an artery or vein, which is thought to lead to irritability of the nerve root due to demyelination and r...
متن کاملArteriovenous malformation in the cerebellopontine angle presenting as trigeminal neuralgia.
A case of arteriovenous malformation of the left cerebellopontine angle causing symptoms of ipsilateral trigeminal neuralgia is reported. Pain relief followed microsurgical removal of the malformation. The authors review the literature on the subject.
متن کاملShort Communication Recurrent Cavernous Sinus Syndrome Complicating Supratentorial Arteriovenous Malformation: Report of a Case
A S-year-old girl with history of unexplained cerebral palsy and cranial asymmetry presented with an acute encephalopathy and a cavernous sinus syndrome. Radiologic studies disclosed an arteriovenous malformation draining into a dilated vein of Galen, arterialization of flow into the cavernous sinuses from runoff of the malformation, and non-filling of the cavernous sinuses on orbital venograph...
متن کاملTrigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report
Intracranial isolated varix is a very rare entity. Although it is usually asymptomatic, there are reports on symptomatic cases with hemorrhage or mass effect that mostly relate to arteriovenous fistulas or arteriovenous malformations. We present an extremely rare case of trigeminal neuralgia caused by an isolated varix. A 55-year-old woman had been experiencing right trigeminal neuralgia for 3 ...
متن کامل