Resolution of Trigeminal Neuralgia After Transvenous Embolization of a Cavernous Sinus Dural Arteriovenous Fistula

被引：7

作者：

Fukutome, Kenji ^{[1
]}

Nakagawa, Ichiro ^{[1
]}

Park, Hun Soo ^{[1
]}

Wada, Takeshi ^{[2
]}

Motoyama, Yasushi ^{[1
]}

Kichikawa, Kimihiko ^{[2
]}

Nakase, Hiroyuki ^{[1
]}

机构：

[1] Nara Med Univ, Dept Neurosurg, Nara, Japan

[2] Nara Med Univ, Dept Radiol, Nara, Japan

来源：

WORLD NEUROSURGERY | 2017年 / 98卷

关键词：

Cavernous sinus dural arteriovenous fistula; Gasserian ganglion; Transvenous embolization; Trigeminal neuralgia; MALFORMATION; ANEURYSM; ONYX;

D O I：

10.1016/j.wneu.2016.11.033

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: Trigeminal neuralgia (TN) resulting from a dural arteriovenous fistula (DAVF) are rare. A case of cavernous sinus dural arteriovenous fistula (CSDAVF) in a patient with TN that resolved immediately after transvenous embolization (TVE) is described. CASE DESCRIPTION: A 75-year-old woman presented with continuous facial pain. On time-of-flight magnetic resonance angiography (MRA), a CSDAVF was suspected, and digital subtraction angiography (DSA) showed a CSDAVF. The TN completely resolved immediately after TVE, with no recurrence. Follow-up MRA showed complete obliteration of the fistula 13 months after TVE. CONCLUSIONS: The pulsatile flow at the posteromedial part of the cavernous sinus might have compressed the upper aspect of the Gasserian ganglion, causing TN. Disappearance of pulsatile flow after TVE might result in complete resolution of TN.

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收藏

页码：880.e5 / 880.e8

页数：4

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