| Cerebellopontine angle epidermoids presenting with trigeminal neuralgia. | |
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MedLine Citation:
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PMID: 16150598 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We studied the clinical characteristics of cerebellopontine angle (CPA) epidermoids presenting with trigeminal neuralgia (TN). Twenty-four patients were analyzed retrospectively and the literature reviewed with regard to clinical manifestation, imaging features, surgical procedures and prognosis. TN may be the initial symptom of CPA epidermoid, particularly in young patients. Epidermoids are characteristically hypodense nonenhancing lesions on CT scans, while on MRI they exhibit long T1 and T2 relaxation times. Although complete removal is ideal in the surgical management of CPA epidermoid, proximity to cranial nerves and the brain stem may pose technical difficulties in complete resection. In addition to complete resection of the tumour, arterial compression at the root entry zone (REZ) of the trigeminal nerve should be sought, and if found, a microvascular decompression (MVD) should be performed. Cranial nerve dysfunction and aseptic meningitis are the most common operative complications. |
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Authors:
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Liu Meng; Liu Yuguang; Li Feng; Su Wandong; Zhu Shugan; Wu Chengyuan |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 12 ISSN: 0967-5868 ISO Abbreviation: J Clin Neurosci Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-10-03 Completed Date: 2006-05-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 784-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebellar Diseases / complications*, diagnosis, surgery Cerebellopontine Angle / pathology*, surgery Female Follow-Up Studies Humans Magnetic Resonance Angiography / methods Magnetic Resonance Imaging / methods Male Middle Aged Neurologic Examination / methods Neurosurgical Procedures / methods Retrospective Studies Review Literature as Topic Tomography, X-Ray Computed / methods Treatment Outcome Trigeminal Neuralgia / complications*, diagnosis, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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