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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 745-749
DOI: 10.4103/ajns.AJNS_229_20
Case Report

Trigeminal neuralgia secondary to cerebellar arteriovenous malformation: A report of two cases

Mardjono Tjahjadi
1   Department of Surgery, Universitas Pembangunan Nasional Veteran Jakarta/Pasar Minggu Regional Hospital
2   Department of Surgery, Universitas Katolik Indonesia Atmajaya, Jakarta
,
Vincent Wijaya
2   Department of Surgery, Universitas Katolik Indonesia Atmajaya, Jakarta
,
Joseph Serrone
3   Department of Neurosurgery, Loyola University Medical Center, Chicago, Illinois
,
Muhammad Caropeboka
2   Department of Surgery, Universitas Katolik Indonesia Atmajaya, Jakarta
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Trigeminal neuralgia (TN) secondary to cerebellar arteriovenous malformation (cAVM) is a rare condition with only few reports existing in the literatures. Given to its rarity, the treatment armamentarium is still controversial. We reported our experiences treated two cases of TN secondary to cAVM using different strategies. The first case was successfully treated by a combination of gamma knife radiosurgery and microvascular decompression (MVD) of the trigeminal nerve. The second case was successfully treated by one-step microsurgical AVM resection and MVD of the trigeminal nerve. Postoperative immediate pain relief was achieved in both patients. Microsurgical procedure is still playing an important role in treating TN secondary to cAVM.

Key-words:

Cerebellar arteriovenous malformation - microsurgery - multimodal treatment - trigeminal neuralgia

Financial support and sponsorship

Nil.




Publication History

Received: 11 May 2020

Accepted: 04 July 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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