Document Detail

Tentorial meningioma and painful tic convulsif. Case report.
MedLine Citation:
PMID:  7714618     Owner:  NLM     Status:  MEDLINE    
A case is presented of painful tic convulsif caused by a posterior fossa meningioma, with right trigeminal neuralgia and ipsilateral hemifacial spasm. Magnetic resonance images showed an ectatic right vertebral artery as a signal-void area in the right cerebellopontine angle. At operation the tentorial meningioma, which did not compress either the fifth or the seventh cranial nerves directly, was totally removed via a suboccipital craniectomy. The patient had complete postoperative relief from the trigeminal neuralgia and her hemifacial spasm improved markedly with decreased frequency. From a pathophysiological standpoint, the painful tic convulsif in this case was probably produced by the tumor compressing and displacing the brainstem directly, with secondary neurovascular compression of the fifth and seventh nerves (the so-called "remote effect").
H Ogasawara; S Oki; H Kohno; S Hibino; Y Ito
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  82     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-05-18     Completed Date:  1995-05-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  895-7     Citation Subset:  AIM; IM    
Department of Neurosurgery, Hiroshima City Asa Hospital, Japan.
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MeSH Terms
Brain Neoplasms / complications,  diagnosis*,  surgery
Cranial Fossa, Posterior*
Dura Mater
Facial Pain / etiology*
Magnetic Resonance Imaging
Meningioma / complications,  diagnosis*,  surgery
Neurologic Examination
Tic Disorders / etiology*
Trigeminal Neuralgia / etiology*

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