Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension

Idiopathic intracranial hypertension (IIH) is characterized by raised intracranial pressure with unknown etiology. The most common neurological manifestations are headache and visual loss. Often, other cranial nerve impairments are also found, most commonly in the VI nerve. Trigeminal neuralgia (TN)...

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Main Authors: Assad Ali, Raphael Bastianon Santiago, Julio Isidor, Mauricio Mandel, Mohamad Adada, Michal Obrzut, Badih Adada, Hamid Borghei-Razavi
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023069645
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author Assad Ali
Raphael Bastianon Santiago
Julio Isidor
Mauricio Mandel
Mohamad Adada
Michal Obrzut
Badih Adada
Hamid Borghei-Razavi
author_facet Assad Ali
Raphael Bastianon Santiago
Julio Isidor
Mauricio Mandel
Mohamad Adada
Michal Obrzut
Badih Adada
Hamid Borghei-Razavi
author_sort Assad Ali
collection DOAJ
description Idiopathic intracranial hypertension (IIH) is characterized by raised intracranial pressure with unknown etiology. The most common neurological manifestations are headache and visual loss. Often, other cranial nerve impairments are also found, most commonly in the VI nerve. Trigeminal neuralgia (TN) is a debilitating condition that is most frequently caused by neurovascular pathology, but TN secondary to IIH is a rare and poorly described topic. Possible explanations of TN in these patients include the distortion of the local anatomy at CN entry zones and fluid displacement causing distortion of the Meckel's cave. In the case below we describe the clinical course of an obese female patient with TN-like pain who underwent a ventriculoperitoneal shunt to treat IIH and experienced complete resolution of both conditions.
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spelling doaj.art-beb17a1ef13e4d03b9a900e388816b8e2023-10-01T06:01:09ZengElsevierHeliyon2405-84402023-09-0199e19756Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertensionAssad Ali0Raphael Bastianon Santiago1Julio Isidor2Mauricio Mandel3Mohamad Adada4Michal Obrzut5Badih Adada6Hamid Borghei-Razavi7Cleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesCorresponding author.; Cleveland Clinic Florida, Department of Neurosurgery, Weston, FL, United StatesIdiopathic intracranial hypertension (IIH) is characterized by raised intracranial pressure with unknown etiology. The most common neurological manifestations are headache and visual loss. Often, other cranial nerve impairments are also found, most commonly in the VI nerve. Trigeminal neuralgia (TN) is a debilitating condition that is most frequently caused by neurovascular pathology, but TN secondary to IIH is a rare and poorly described topic. Possible explanations of TN in these patients include the distortion of the local anatomy at CN entry zones and fluid displacement causing distortion of the Meckel's cave. In the case below we describe the clinical course of an obese female patient with TN-like pain who underwent a ventriculoperitoneal shunt to treat IIH and experienced complete resolution of both conditions.http://www.sciencedirect.com/science/article/pii/S2405844023069645Idiopathic intracranial hypertensionTrigeminal neuralgiaVentriculoperitoneal shuntMeckel's cave
spellingShingle Assad Ali
Raphael Bastianon Santiago
Julio Isidor
Mauricio Mandel
Mohamad Adada
Michal Obrzut
Badih Adada
Hamid Borghei-Razavi
Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
Heliyon
Idiopathic intracranial hypertension
Trigeminal neuralgia
Ventriculoperitoneal shunt
Meckel's cave
title Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
title_full Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
title_fullStr Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
title_full_unstemmed Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
title_short Debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
title_sort debilitating trigeminal neuralgia secondary to idiopathic intracranial hypertension
topic Idiopathic intracranial hypertension
Trigeminal neuralgia
Ventriculoperitoneal shunt
Meckel's cave
url http://www.sciencedirect.com/science/article/pii/S2405844023069645
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