Skull Base 2011; 21(5): 287-294
DOI: 10.1055/s-0031-1284218
ORIGINAL ARTICLE

© Thieme Medical Publishers

Secondary Trigeminal Neuralgia in Cerebellopontine Angle Tumors

Yury Shulev1 , Alexander Trashin1 , Konstantin Gordienko1
  • 1Neurosurgical Department #1, City Hospital #2, Saint-Petersburg Medical Academy of Postgraduate Studies, Saint-Petersburg, Russia
Further Information

Publication History

Publication Date:
21 July 2011 (online)

ABSTRACT

The analysis of the treatment results in patients with cerebellopontine angle (CPA) tumors, manifested as trigeminal neuralgia (TN). During the 10-year period from 1998 to 2008, 14 patients with verified CPA tumors that had the typical manifestations of TN were operated on at our hospital (5.8% from all patients with TN who underwent surgery). In nine cases the epidermoid was identified; three patients had meningioma, one patient had acoustic neurinoma, and one patient had lipoma. The follow-up of all patients lasted at least 12 months. The intraoperative assessment identified the three variants of relationship between the tumors and neurovascular structures: (1) tumor grows around the trigeminal nerve; (2) the tumor causes compression and displacement of the trigeminal nerve; and (3) tumor presses the arterial vessel to the trigeminal nerve by moving the vessel or nerve. For six patients, with removal of tumor a microvascular decompression of the trigeminal nerve was performed. Complete pain relief was achieved in 12 patients (86%). TN is an expectative symptom of CPA tumors. The most frequent cause of secondary TN of CPA tumors is epidermoid. All patients with manifestations of TN should undergo the magnetic resonance imaging for early diagnosis of CPA tumor.

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Alexander TrashinM.D. Ph.D. 

Neurosurgical Department #1, City Hospital #2

#5 Uchebnyj per., Saint-Petersburg, Russia

Email: atrashin@gmail.com