Successful vascular decompression in an 11-year-old patient with trigeminal neuralgia

Solth, Anna; Veelken, N.; Gottschalk, Jack A.; Goebell, Einar; Pothmann, Raymund; Kremer, Pamala

doi:10.1007/s00381-008-0581-0

Cited by 14 publications

(7 citation statements)

References 8 publications

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“…18 In the pediatric population, Solth found success utilizing MVD in an 11-year-old patient, whose symptoms were caused by nerve compression via the superior cerebellar artery and anterior inferior cerebellar artery. 31 In a study of female pediatric patients at John Hopkins, 5 of the 6 cases also experienced complete pain relief via MVD. 16 Complications that have been associated with MVD include CSF leaks,…”

Section: Discussionmentioning

confidence: 99%

“…Of 52 pediatric patients among 9 series, complete response to MVD was observed in 33 cases while partial response was seen in 17 cases at follow-up times ranging from 6 months to 18 years. 4,12,15,16,19,20,23,28,31 Other surgical procedures used in the treatment of pediatric trigeminal neuralgia include percutaneous balloon compression, and peripheral glycerol injection. 19 The percutaneous balloon compression performed by Baabor demonstrated high success rate, low recurrence rate, low cost, and a low morbidity rate.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Trigeminal Neuralgia in Children

et al. 2019

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BACKGROUND Trigeminal Neuralgia (TN) is a well-recognized facial pain syndrome. Discrete forms with disparate pain symptoms include TN1 and TN2, however, atypical facial pain includes neuralgiform pain along a spectrum. The majority of TN is diagnosed in the adult population. Case reports and series in children present TN as a similar diagnosis which can be similarly treated as in adults. This manuscript reviews pertinent literature and presents two pediatric TN cases successfully treated with microvascular decompression (MVD). CASE DESCRIPTION Two pediatric patients (ages 12 and 15) were identified with TN that was refractory to previous medical therapy. The patients were both deemed appropriate surgical candidates and were treated with MVD to manage their TN. TN compression was arterial in both cases and involved portions of the anterior inferior cerebellar artery. Patient 1 was found to be pain-free 6 months following the procedure. Patient 2 was pain-free immediately following the procedure and has since been weaned off preoperative symptomatic management. The most recent follow-up is 12 and 8 months, respectively, with continued pain freedom. CONCLUSIONS There are few reports on the effectiveness of MVD in the pediatric population for the management of TN. Supporting literature, as well as the cases presented, demonstrate that MVD is an effective treatment for pediatric patients in managing their TN. Furthermore, there appears to be minimal side effects, with excellent pain relief with MVD in this patient population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical Management of Trigeminal Neuralgia in Children

et al. 2019

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“…Recently, it was proposed that the cause of trigeminal neuralgia is herpes simplex 3 . Solth et al 13 described a case during the intraoperative period with severely thickened fibrous tissue in the pontomesencephalic cistern which attached the deviating blood vessel to the trigeminal nerve. This tissue, which was neither of arachnoidal nor of neuro-ectodermal origin, could be scar tissue from the severe Epstein-Barr virus infection which this child had contracted at the age of 3 years.…”

Section: Discussionmentioning

confidence: 99%

Neurovascular Decompression for Trigeminal Neuralgia in 17-year-old Girl

Jung¹,

Ruschell²,

Silva³

et al. 2018

jbnc

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Trigeminal neuralgia in general is a disease of the elderly. Rarely, the disease presents during childhood. Therefore we sought to explore the role of vascular compression in pediatric patients with medically refractory trigeminal neuralgia. A case of venous compression related to trigeminal neuralgia is presented in a 17-year-old girl. Upper petrous vein was found to be related to aneurovascular conflict with unusual response to neurovascular decompression with complete resolution of symptoms in postoperativeperiod.

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“…19 Solth A reported a case of TGN in a 11 year old boy who had meningoencephalitis. 20 Trigeminal neuralgia has also been associated with lipomas in children. 21 Glossopharyngeal neuralgia arises due to various causes such as tumor , infection , Chiari I malformation, infarction, dissection of the vertebral artery or neurovascular compression.…”

Section: Etiopathogenesismentioning

confidence: 99%

“…18 However Solth et al have got good results with MVD using gore tex as tissue implant in a 11 year old boy. 20 Surgical decompression has found to be effective in children with GN. 12 Kandt RS perfomed cervical sectioning of glossopharyngeal nerve and its tympanic branch in a 13 year old boy and the child was completely relieved of symptoms.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Paroxysmal Neuralgia in Pediatric Population- A Diagnostic Dilemma for Physicians and Dental Practioners

Mujoo¹,

Sakarde²,

Ak³

2014

Kathmandu Univ. Med. J.

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Paroxysmal neuralgia is relatively uncommon in children. Neuropathic orofacial pain is a challenge for the clinician, as no obvious dental pathology exists either clinically or radiographically. Dentist and physician should be able to recognize the characteristics of neuropathic pain so as to correctly diagnose these conditions hence avoid unnecessary dental intervention. This article reviews the conditions with paroxysmal neuralgia in children and available treatment strategies.

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Successful vascular decompression in an 11-year-old patient with trigeminal neuralgia

Abstract: Trigeminal neuralgia in pediatric patients is very rare. We present a case of typical trigeminal neuralgia in a child, demonstrating the pathogenesis of the neurovascular conflict due to subarachnoidal adhesions after meningoencephalitis.

Cited by 14 publications

References 8 publications

Surgical Management of Trigeminal Neuralgia in Children

Surgical Management of Trigeminal Neuralgia in Children

Neurovascular Decompression for Trigeminal Neuralgia in 17-year-old Girl

Paroxysmal Neuralgia in Pediatric Population- A Diagnostic Dilemma for Physicians and Dental Practioners

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