Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report
Abstract 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 neuralgi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2014-08-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1383861 |
| _version_ | 1818859486473879552 |
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| author | Takuro Inoue Ayako Shima Hisao Hirai Fumio Suzuki Masayuki Matsuda |
| author_facet | Takuro Inoue Ayako Shima Hisao Hirai Fumio Suzuki Masayuki Matsuda |
| author_sort | Takuro Inoue |
| collection | DOAJ |
| description | Abstract
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 years. Computed tomography and magnetic resonance imaging revealed an enhanced mass lesion on the root entry zone of the right trigeminal nerve. Angiograms confirmed the mass was a varix arising on the vein connecting the basal vein of Rosenthal and the superior petrosal vein. Preoperative three-dimensional (3D) imaging clearly depicted the anatomical relation of the varix, adjacent vessels, and trigeminal nerve, which helped plan operative procedures. The varix with its parent vein was successfully transposed from the nerve without sacrificing any veins. Her pain disappeared immediately after the surgery and did not recur during a 30-month follow-up period. The 3D image contributed to making an accurate and safer operative plan especially for this rare case. |
| first_indexed | 2024-12-19T09:12:57Z |
| format | Article |
| id | doaj.art-40c46327535e486ab996ffb9b4adc1fc |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-12-19T09:12:57Z |
| publishDate | 2014-08-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-40c46327535e486ab996ffb9b4adc1fc2022-12-21T20:28:09ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662014-08-017502e206e20910.1055/s-0034-1383861Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case ReportTakuro Inoue0Ayako Shima1Hisao Hirai2Fumio Suzuki3Masayuki Matsuda4Department of Neurosurgery, Subarukai Kotoh Kinen Hospital, Higashiohmi, Shiga, JapanDepartment of Neurosurgery, Subarukai Kotoh Kinen Hospital, Higashiohmi, Shiga, JapanDepartment of Neurosurgery, Subarukai Kotoh Kinen Hospital, Higashiohmi, Shiga, JapanDepartment of Neurosurgery, Subarukai Kotoh Kinen Hospital, Higashiohmi, Shiga, JapanDepartment of Neurosurgery, Subarukai Kotoh Kinen Hospital, Higashiohmi, Shiga, JapanAbstract 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 years. Computed tomography and magnetic resonance imaging revealed an enhanced mass lesion on the root entry zone of the right trigeminal nerve. Angiograms confirmed the mass was a varix arising on the vein connecting the basal vein of Rosenthal and the superior petrosal vein. Preoperative three-dimensional (3D) imaging clearly depicted the anatomical relation of the varix, adjacent vessels, and trigeminal nerve, which helped plan operative procedures. The varix with its parent vein was successfully transposed from the nerve without sacrificing any veins. Her pain disappeared immediately after the surgery and did not recur during a 30-month follow-up period. The 3D image contributed to making an accurate and safer operative plan especially for this rare case.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1383861trigeminal neuralgiadevelopmental venous anomalyvarix3d imaging |
| spellingShingle | Takuro Inoue Ayako Shima Hisao Hirai Fumio Suzuki Masayuki Matsuda Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report Journal of Neurological Surgery Reports trigeminal neuralgia developmental venous anomaly varix 3d imaging |
| title | Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report |
| title_full | Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report |
| title_fullStr | Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report |
| title_full_unstemmed | Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report |
| title_short | Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report |
| title_sort | trigeminal neuralgia due to an isolated cerebral varix case report |
| topic | trigeminal neuralgia developmental venous anomaly varix 3d imaging |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1383861 |
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