| Trigeminal pain caused by a cerebellopontine-angle lipoma. Case report and review of the literature. | |
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MedLine Citation:
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PMID: 11533536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 16-year-old girl complained of 2-year history of right facial pain, episodic vertigo and progressive hearing loss in the right ear. The facial pain was described as an episodic lancinating event confined to the second and third branch of the right trigeminal nerve. Computed tomography and magnetic resonance imaging revealed a 2 cm lesion in the right cerebellopontine-angle. At surgery, a soft, yellowish mass was found incorporating the 7th and 8th cranial nerves. The anterior-inferior cerebellar artery (AICA) was displaced medially and pushed into the sensory portion of the trigeminal nerve root, causing vascular compression. The hearing loss remained unchanged. The trigeminal pain disappeared over a period of several weeks. Patients can be harmed in an attempt to remove these neurovascular nonmalignant, generally non growing, fatty vascular lumps. Only a partial, meticulous removal should be performed with a maximum effort to decompress the affected nerve. |
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Authors:
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C Alafaci; F M Salpietro; E Puglisi; E Tripodo; D Matalone; G Di Pietro; F Tomasello |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgical sciences Volume: 45 ISSN: 0390-5616 ISO Abbreviation: J Neurosurg Sci Publication Date: 2001 Jun |
Date Detail:
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Created Date: 2001-09-04 Completed Date: 2001-12-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0432557 Medline TA: J Neurosurg Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 110-3 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, University of Messina, School of Medicine, Messina, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Basilar Artery / pathology, physiopathology, surgery Cerebellopontine Angle / blood supply, pathology*, surgery Cerebellum / blood supply, pathology, physiopathology Cochlear Nerve / injuries, physiopathology, surgery Deafness / etiology, pathology, surgery Decompression, Surgical / adverse effects, methods* Facial Nerve Injuries / etiology, physiopathology, surgery Female Humans Lipoma / complications*, pathology, surgery Magnetic Resonance Imaging Nerve Compression Syndromes / etiology*, pathology, surgery Recovery of Function / physiology Tomography, X-Ray Computed Treatment Outcome Trigeminal Nerve / injuries*, physiopathology, surgery Trigeminal Neuralgia / etiology*, pathology, surgery |
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