Trigeminal Neuralgia and Arteriovenous Aneurysm of the Cerebellopontine Angle

Eisenbrey, A. Bradley; Hegarty, William M.

doi:10.3171/jns.1956.13.6.0647

Cited by 32 publications

(3 citation statements)

References 7 publications

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“…The association of trigeminal neuralgia and AVM's has been reported previously. 7,14,25,26 Five patients presented with difficulties unrelated to hemorrhage 61 with ruptured aneurysm 9 with unruptured aneurysm 3 headache 3 focal neurological deficit 2 hemorrhage. During an investigation for headaches, three patients were found to have intact AVM's.…”

Section: Clinical Data On Presentationmentioning

confidence: 99%

Posterior fossa arteriovenous malformations

Drake¹,

Friedman²,

Peerless³

1986

Journal of Neurosurgery

199

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The authors report their treatment of 66 infratentorial arteriovenous malformations (AVM's) in patients aged 5 to 69 years. Sixty-one of them presented with hemorrhage, three with headache, and two with focal neurological deficits. Five patients underwent surgical exploration only, one was treated with ventriculostomy, three had ligation of the AVM feeding arteries, four underwent intraoperative embolization, and two had pontine hematomas removed; complete excision was attempted in 51 patients and accomplished in 47. Twelve of the patients also had aneurysms (nine of which had ruptured). Of this series, 71% had a good result, 14% a poor result, and 15% died. Most of the operative morbidity was due to massive postoperative hemorrhage, probably related to inadequate hemostasis.

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Section: Clinical Data On Presentationmentioning

confidence: 99%

Posterior fossa arteriovenous malformations

Drake¹,

Friedman²,

Peerless³

1986

Journal of Neurosurgery

199

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“…Cavernomas, AVM and AVF comprise an overwhelming majority of the reported cases of TN in this category. Reviewing the past 75 years' worth of published data in the English literature, only 59 patients including the current case study have been cited with pure AVM‐associated TN (2, 3, 5, 6, 14–41). These 59 patients represent a greater number than that preliminarily described in a recent literature review (42).…”

Section: Discussionmentioning

confidence: 93%

Resolution of Trigeminal Neuralgia Following Cerebellar AVM Embolization With Onyx

Lesley¹

2009

Cephalalgia

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Intracranial arteriovenous malformation (AVM) is a rare cause of trigeminal neuralgia (TN). Successful resolution of AVM-related TN following embolization surgery using Onyx has not been reported. In this case report, a posterior fossa AVM was embolized in two separate, staged endovascular surgeries using Onyx. The AVM was reduced in size, and the TN resolved. The patient subsequently underwent radiosurgery for the small, residual AVM, and he has maintained an uneventful follow-up. A thorough literature review was also performed for AVM-associated TN. Fifty-nine reports of AVM-related TN have been described to date, of which only three were treated with embosurgery. None of the prior two embosurgical reports utilized Onyx, and no AVM was obliterated with embosurgery alone. TN secondary to AVM can be resolved with embosurgery utilizing Onyx; however, complete elimination of the underlying AVM requires adjuvant surgery.

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“…(AVM) [5][6][7][8] of the posterior fossa as well as two short series of patients [9,10] with AVMs involving the nerve itself. Johnson and Salmon [8] describe a 29-year-old patient who bled from a large posterior fossa AVM involving the right CPA, which was diagnosed only after the patient had undergone a series of intracranial nerve sectioning and ganglionectomy procedures.…”

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confidence: 99%

Case of microarteriovenous malformation-induced trigeminal neuralgia treated with radiosurgery

2006

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Radiosurgery to the right fifth cranial nerve was performed with the Gamma Knife on a 39- year-old patient who presented with classic symptoms of trigeminal neuralgia (TN), but was found on imaging studies to harbour a small intrinsic vascular malformation within the nerve. Based on size and drainage, the arteriovenous malformation (AVM) was Spetzler-Martin Grade III and no previous history of bleeding was reported. The patient had failed a trial of carbamazepine, and no surgical procedures had been performed. A decrease in symptoms was reported by the 6-month follow- up. A review of the literature on microAVM-induced TN is provided as well as a discussion of management.

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Trigeminal Neuralgia and Arteriovenous Aneurysm of the Cerebellopontine Angle

Cited by 32 publications

References 7 publications

Posterior fossa arteriovenous malformations

Posterior fossa arteriovenous malformations

Resolution of Trigeminal Neuralgia Following Cerebellar AVM Embolization With Onyx

Case of microarteriovenous malformation-induced trigeminal neuralgia treated with radiosurgery

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