Trigeminal neuralgia caused by a pontine abscess: Case report

被引:12
作者
Bekar, A [1 ]
Kocaeli, H
Yilmaz, E
Dogan, E
机构
[1] Uludag Univ, Sch Med, Dept Neurosurg, Gorukle, Turkey
[2] Uludag Univ, Sch Med, Dept Infect Dis & Microbiol, Gorukle, Turkey
关键词
abscess; pons; sinusitis; trigeminal neuralgia;
D O I
10.1227/01.NEU.0000143372.60209.09
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE and IMPORTANCE: Various intracranial abnormalities, including infectious conditions, may manifest as trigeminal neuralgia. CLINICAL PRESENTATION: A 33-year-old man presented with a 15-day history of right-sided facial pain and numbness. Neurological examination revealed diminished corneal reflex and facial sensation in the right V1-V2 distribution. Magnetic resonance imaging revealed a contrast-enhancing lesion centered at the right pons with extension of the enhancement to the sphenoid sinus. INTERVENTION: Broad-spectrum antibiotics were administered for 6 weeks. This resulted in alleviation of symptoms and resolution of the lesion as revealed by repeat magnetic resonance imaging. CONCLUSION: Presentation of a pons abscess with trigeminal neuralgia is rare, and to the best of our knowledge has not been reported previously. The patient was treated successfully with antibiotics alone.
引用
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页码:1434 / 1434
页数:1
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