| Cerebellopontine angle cysticercus and concurrent vascular compression in a case of trigeminal neuralgia. | |
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MedLine Citation:
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PMID: 14643911 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Rogelio Revuelta; José Luis Soto-Hernández; Lourdes Olivia Vales; Ramón Hinojoza González |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical neurology and neurosurgery Volume: 106 ISSN: 0303-8467 ISO Abbreviation: Clin Neurol Neurosurg Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2003-12-03 Completed Date: 2004-03-17 Revised Date: 2009-10-14 |
Medline Journal Info:
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Nlm Unique ID: 7502039 Medline TA: Clin Neurol Neurosurg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 19-22 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes Sur 3877, Tlalpan, C.P. 14269 México, DF, Mexico. rogelio_revuelta@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteries
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surgery Cerebellar Diseases / complications, diagnosis*, surgery Cerebellopontine Angle* / blood supply, surgery Cerebellum / blood supply* Decompression, Surgical Diagnosis, Differential Female Humans Middle Aged Neurocysticercosis / complications, diagnosis*, surgery Radiculopathy / diagnosis*, surgery Tissue Adhesions / surgery Trigeminal Nerve Diseases / diagnosis*, surgery Trigeminal Neuralgia / etiology*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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