Tentorial dural arteriovenous malformation manifesting as trigeminal neuralgia treated by stereotactic radiosurgery: A case report
| Autor: | Kaoru Kurisu, Toshinori Matsushige, Keiji Ohta, Hisayo Okamoto, Mitsuo Nakaoka, Kaita Yahara |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Cranial Sinuses Radiation Dosage Radiosurgery Trigeminal neuralgia Preoperative Care medicine Humans Trigeminal Nerve Central Nervous System Vascular Malformations medicine.diagnostic_test business.industry Magnetic resonance imaging Arteriovenous malformation Cerebral Arteries Middle Aged Trigeminal Neuralgia medicine.disease Cerebral Veins Magnetic Resonance Imaging Tentorium Cerebral Angiography Treatment Outcome Cranial Fossa Posterior Superior petrosal sinus Cerebrovascular Circulation Angiography Surgery Neurology (clinical) Radiology Dura Mater business Tomography X-Ray Computed Cerebral angiography |
| Zdroj: | Surgical neurology. 66(5) |
| ISSN: | 0090-3019 |
| Popis: | Background: Tentorial dAVMs as a cause of trigeminal neuralgia are extremely rare. Consensus exists that radical treatment of such high-flow dAVMs should be considered because of their high risk of bleeding. The authors present a case of a 50-year-old man who presented with symptoms of tic douloureux caused by tentorial dAVM, which was treated successfully by SRS. Case Description: The patient consulted us with a 1-month history of harboring right trigeminal neuralgia. The cerebral angiography revealed a dAVM in the petrotentorial region and the MRI demonstrated a dilated petrosal venous varix compressing the root entry zone of the right trigeminal nerve. Gamma knife surgery was performed with a marginal dose of 18 Gy and a maximum dose of 30 Gy in a volume of 0.3 mL. The target point of the radiosurgery for this patient was a fistula identified by superselective angiography, enhanced computed tomography, and MRI. Follow-up MRI, 1 year after GKS, showed a thrombosed lesion, and the patient was able to end medication. There was no evidence of recurrence or adverse effects in the 3-year follow-up. Conclusion: Stereotactic radiosurgery can play an effective role as a treatment modality for such unusual dAVMs. |
| Databáze: | OpenAIRE |
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