Document Detail

Arteriovenous malformation surrounding the trigeminal nerve--case report.
MedLine Citation:
PMID:  15018326     Owner:  NLM     Status:  MEDLINE    
A 57-year-old man presented with subarachnoid hemorrhage due to the rupture of an arteriovenous malformation (AVM) located at the base of the root of the right trigeminal nerve. In contrast to previous similar cases, his history included no evidence of trigeminal neuralgia or sensory loss. Right vertebral artery angiography revealed a doubled superior cerebellar artery feeding the angioma nidus. The patient refused radiotherapy and preferred surgical treatment. Intraoperatively, a close relationship between arterial feeders and rootlets of the trigeminal nerve was observed. Complete removal of the malformation was achieved and confirmed angiographically. The postoperative course was complicated by subdural hygroma that required repeated drainage and eventually a shunting procedure. This case demonstrates that microsurgical treatment of a trigeminal AVM is feasible. However, stereotactic radiosurgery may be the preferred treatment option considering the potential for postoperative complications.
Boris Krischek; Sachiko Yamaguchi; Ulrich Sure; Ludwig Benes; Siegfried Bien; Helmut Bertalanffy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  44     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-15     Completed Date:  2004-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  68-71     Citation Subset:  IM    
Department of Neurosurgery, Philipps University Hospital Marburg, Marburg, Germany.
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MeSH Terms
Intracranial Arteriovenous Malformations / pathology*,  radiography*,  surgery
Middle Aged
Trigeminal Nerve / pathology*,  radiography*

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