Temporal glioblastoma causing trigeminal neuralgia. Case illustration
| Autor: | Shreeram Deshpande, George J. Kaptain, Louis Pobereskin |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Trigeminal nerve
Male business.industry Brain Neoplasms Anatomy Trigeminal Neuralgia medicine.disease Magnetic Resonance Imaging Temporal Lobe Ganglion medicine.anatomical_structure Trigeminal neuralgia Glioma Cavernous sinus Neuralgia medicine Cranial nerve disease Humans medicine.symptom business Glioblastoma Atypical facial pain Aged |
| Zdroj: | Journal of neurosurgery. 91(3) |
| ISSN: | 0022-3085 |
| Popis: | This 74-year-old man presented with episodic, lancinating rightsided facial pain and numbness. Examination revealed decreased sensation in the maxillary branch of the trigeminal nerve. The corneal reflexes were preserved and a trigger point was unobtainable. Magnetic resonance imaging demonstrated a right-sided intraaxial mesiotemporal mass with extension into the cavernous sinus and Meckel’s cave (Fig. 1); surgery confirmed these findings. Subtotal resection of the mass was performed and the frozen section revealed a high-grade glioma. The lateral wall of the cavernous sinus was disrupted and an intrasinus mass was visible; this portion was left undisturbed. One month postsurgery, the patient reported complete relief of pain, but persistent numbness. Final pathological findings confirmed that the mass was a glioblastoma multiforme. Tumors have been identified as a source of trigeminal neuralgia or atypical facial pain both in the posterior and middle fossa. Irritation of the gasserian ganglion through compression or infiltration most commonly results from extraaxial intracranial masses, 1 direct extension of infratemporal tumors, 3 or meningeal carcinomatosis.2 Patients with gliomas rarely present with facial pain as a result of ganglionic infiltration 4 because spontaneous dural invasion is uncommon. |
| Databáze: | OpenAIRE |
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