Trigeminal neuralgia caused by aneurysm of the posterior cerebral artery: a case description and the analysis of anatomical variety of vascular complex in the rood entry zone of trigeminal nerve

• Autorzy: Dzierzanowski J. , Słoniewski P.
• Języki publikacji: EN

Abstrakty

EN

Trigeminal neuralgia is still a riddle, especially in the pathophysiology of the tic douloureux, although the problem has been described in many medical publications. The major theory of pain based on the compression of the Vth nerve by tumours or vessels in the rood entry zone (REZ) does not explain the facial pain in patient without neurovascular conflict, with multiple sclerosis or with conflict in places other than REZ. We report a case of the posterior cerebral artery aneurysm, which caused the isolated trigeminal neuralgia in a 48-year-old woman. She was operated on through microvascular decompression and the aneurysm was wrapped. In the second part of this study we review morphological variations of the neurovascular conflict on the basis of anatomical publications. (Folia Morphol 2014; 73, 2: 224–228)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2014
• Tom: 73
• Numer: 2
• Opis fizyczny: p.224-228,fig.,ref.

Twórcy

autor

Dzierzanowski J.

• Department of Neurosurgery, Medical University of Gdansk, Gdansk, Poland

autor

Słoniewski P.

• Department of Neurosurgery, Medical University of Gdansk, Gdansk, Poland

Bibliografia

• 1. Barker FG, Jannetta PJ, Bissonnette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia (1185 cases). N Engl J Med, 334: 1077–1083.
• 2. Calvin W, Loeser J, Howe J (1977) A neurophysiological theory for the pain mechanism of tic douloureux. Pain, 3: 147–154.
• 3. Clerici A, Merlo P, Rognone F, Noce M, Rognone E, Bono G (2009) Persistent trigeminal artery causing “double” neurovascular conflict. Headache, 49: 472–476.
• 4. Constans JP, Visot A, Fredy D, Dorland P (1976) Giant aneurysm of the basilar trunk presenting as essential facial neuralgia. Neurochirurgie, 22: 493–502.
• 5. Dandy WE (1934) Concerning the cause of trigeminal neuralgia. Am J Surg, 24: 447–455.
• 6. Grant G, Loeser J (2005) Trigeminal neuralgia. In: Rengachary SS, Ellenbogen RG ed. Principles of neurosurgery. Elsevier Limited, Philadelphia, pp. 777–784.
• 7. Haines S, Jannetta P, Zonun D (1980) Microvaseular relations of the trigeminal nerve An anatomical study with clinical correlation. J Neurosurg, 52: 381–386.
• 8. Hardy DG, Rhoton AL Jr. (1978) Microsurgical relationships of the superior cerebellar artery and the trigeminal nerve. J Neurosurg, 49:669–678.
• 9. Huibin Q, Jianxing L, Guangyu H, Dianen F (2009) The treatment of first division idiopathic trigemninal neuralgia with radiofrequency thermocoagulation of the peripherial branches compared to conventional radiofrequency. J Clin Neurosci, 16: 1425–1429.
• 10. Ildan F, Gocer A, Bagdatoglu H, Uzuneyiipoglu Z, Tuna M, Cetinalp E (1996) Isolated trigeminal neuralgia secondary to distal anterior inferior cerebellar artery aneurysm Neurosurg. Rev, 19: 43–46.
• 11. Klun B (1992) Microvascular decompression and partial sensory in the treatment of trigeminal neuralgia. Neurosurgery, 30: 49–52.
• 12. Klun B, Prestor B (1986) Microvascular relations of the trigeminal nerve: an anatomical study. Neurosurgery, 19: 535–539.
• 13. Leopold NA, Hirsh LF, Ray T (1980) Paroxysmal facial neuralgia secondary to a posterior communicating artery aneurysm. Surg Neurol, 14: 221–223.
• 14. Matsushima T, Huynh-Le P, Miyazono M (2004) Trigeminal neuralgia caused by venous compression. Neurosurgery, 55: 334–339.
• 15. McLaughlin MR, Jannetta PJ, Clyde BL, Subach BR, Comey CH, Resnick DK (1999) Microvascular decompression of cranial nerves: Lessons learned after 4400 operations. J Neurosurg, 90: 1–8.
• 16. Peker S, Kurtkaya O, Uzun I, Pamir N (2006) Microanatomy of the central myelin-peripheraila myelin transition zone of the trigeminal nerve. Neurosurgery, 59: 354–359.
• 17. Piatt JH, Wilkins RH (1984) Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic implication of various neurovascular relationships. Neurosurgery, 14: 462–471.
• 18. Ramesh VG, Premkumar G (2009) An anatomical study of the neurovascular relationships entry zone. J Clin Neurosc, 16: 934–936.
• 19. Rhoton AL Jr. (2000) The cerebellopontine angle and posterior fossa cranial nerves by the retrosigmoid approach. Neurosurgery, 47 (suppl. 3): S93–S129.
• 20. Rosa A, Mizon JP, Sevestre H (1991) Giant vertebro-basilar aneurysm. Frontal syndrome. Rev Neurol, 147: 827–829.
• 21. Sindou M, Acevedo G (2001) Microvascular decompression of the trigeminal nerve. Oper Tech Neurosurgery, 4: 110–126.
• 22. Sindau M, Howeidy T, Acevedo G (2002) Anatomical observations during microvascular decompression for idiopathic trigeminal neuralgia (with correlations between topography of pain and site of the neurovascular conflict). Prospective study in series of 579 patients. Acta Neurochir, 144: 1–13.
• 23. Sindou M, Leston J, Howeidy T, Decullier E, Chapuis F (2006) Micro-vascular decompression for primary Trigeminal Neuralgia (typical or atypical). Long-term effectiveness on pain; prospective study with survival analysis in a consecutive series of 362 patients. Acta Neurochir, 148: 1235–1245.
• 24. Słoniewski P, Dzierżanowski J, Szmuda T (2008) Modification of the pterional approach to pathologies of the interpeduncular fossa-technical description, morphometry and results of treatment. Neuro Neurochir Pol, 42 (suppl. 2): 160–168.
• 25. Taarnhoj P (1982) Decompression of the posterior trigeminal root in trigeminal neuralgia, a 30-year follow-up review. J Neurosurg, 57: 14–17.
• 26. Terao S, Hara K, Yoshida K, Ohira T, Kawase T (2001) A giant internal carotid-posterior communicating artery aneurysm presenting with atypical trigeminal neuralgia and facial nerve palsy in a patient with autosomal dominant polycystic kidney disease: a case report. Surg Neurol, 56: 127–131.
• 27. Trotter MI, Choksey MS (2000) Facial pain with intracranial aneurysm. J R Soc Med, 93: 479–480.
• 28. Tuccar E, Sen T, Esmer AF (2009) Anatomy and clinical significance of the trigeminocerebellar artery. J Clin Neurosc, 16: 679–682.
• 29. Zager EL (1991) Isolated trigeminal sensory loss secondary to a distal anterior inferior cerebellar artery aneurysm: case report. Neurosurgery, 28: 829–832.
• 30. Zorman G, Wilson CB (1984) Outcome following microvascular decompression or partial sensory rhizotomy in 125 cases of trigeminal neuralgia. Neurology, 34: 1362–1365.

Identyfikatory

DOI

10.5603/FM.2014.0033