Paediatric Cavernous Malformation of the Trigeminal Nerve: Case Report and Review of the Literature

被引:1
作者
Thompson, Daniel [1 ]
Zammit, Adrian [2 ]
Yuen, Jason [1 ]
Hand, Charles [2 ]
Likeman, Marcus [3 ]
Singleton, William [1 ]
Nelson, Richard [2 ]
Fellows, Greg [1 ]
机构
[1] Bristol Childrens Hosp, Dept Neurosurg, Bristol, Avon, England
[2] Southmead Hosp, Dept Neurosurg, Bristol, Avon, England
[3] Bristol Childrens Hosp, Dept Radiol, Bristol, Avon, England
关键词
Cavernoma; Cerebellopontine angle; Trigeminal nerve;
D O I
10.1159/000524522
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Intradural, extra-axial cerebral cavernous malformations (CCMs) are rare entities and are mostly reported in relation to the optic apparatus or the facial/vestibulocochlear complex. Cranial nerve CCMs tend to follow a clinically aggressive course, with a tendency to progressive neurological dysfunction following intra-lesional haemorrhage or less commonly due to the effects of subarachnoid haemorrhage. Case Presentation: We report the first case of a trigeminal CCM presenting in a child with otalgia and left-sided headaches. The patient was initially managed with radiological surveillance but required surgical management following deterioration. We describe the successful treatment of the lesion with microsurgical resection. Conclusion: A CCM should be considered in the differential diagnosis of mass lesions arising in the region of the trigeminal nerve. Surgical resection is recommended to prevent neurological deterioration and may result in significant symptomatic improvement. (C) 2022 S. Karger AG, Basel
引用
收藏
页码:207 / 212
页数:6
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