Cerebellopontine angle cysticercus and concurrent vascular compression in a case of trigeminal neuralgia

被引:15
作者
Revuelta, R
Soto-Hernández, JL
Vales, LO
González, RH
机构
[1] Inst Nacl Neurol & Neurocirurgia Manuel Velasco S, Dept Neurosurg, Mexico City 14269, DF, Mexico
[2] Inst Nacl Neurol & Neurocirurgia Manuel Velasco S, Dept Infect Dis, Mexico City 14269, DF, Mexico
[3] Inst Nacl Neurol & Neurocirurgia Manuel Velasco S, Dept Otorhinolaryngol, Mexico City 14269, DF, Mexico
关键词
trigeminal neuralgia; cysticercosis; microvascular decompression; anteroinferior cerebellar artery;
D O I
10.1016/j.clineuro.2003.07.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors present the case of a 59-year-old woman with an 8 months history of lancinating pain and hyphestesia on the right side of the face along with hearing impairment. She had poor tolerance to carbamazepine. A non-enhancing cystic image was observed at the right cerebellopontine angle on magnetic resonance imaging. The patient underwent surgery. Through a right retromastoid minicraniectomy and under microscopic magnification the VII and VIII cranial nerve complex was found involved by multiple adhesions around a cysticercus. After the cyst was removed a loop of the anteroinferior cerebellar artery was identified compressing the V right nerve at its root entry zone. Decompression was performed by the insertion of a Teflon implant. The postoperative course was uneventful and trigeminal neuralgia (TN) disappeared after surgery. Five previous cases of cranial nerve hyperactive dysfunction syndromes, four of trigeminal neuralgia and one of hemifacial spasm associated to cerebellopontine angle cysticercosis are briefly commented. We suggest that in some of these cases microvascular compression was probably present, and during surgery of cerebellopontine angle cysticercus by either trigeminal neuralgia or hemifacial spasm, vascular compression must be carefully searched and treated when found. (C) 2003 Elsevier B.V. All rights reserved.
引用
收藏
页码:19 / 22
页数:4
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