Trigeminal neuralgia and persistent trigeminal artery

Conforti, Renata; Parlato, Raffaele Stefano; Paulis, Danilo De; Cirillo, Mario; Marrone, Valeria; Cirillo, S.; Moraci, A; Parlato, C

doi:10.1007/s10072-012-0942-z

Cited by 15 publications

(11 citation statements)

References 12 publications

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“…PPTA is usually reported to be detected incidentally and is shown to be rarely associated with pituitary lesions, vascular anomalies, trigeminal neuralgia and aneurysms [3,4]. Four cases of functional macro-adenoma and one case of non-functional adenoma accompanying PPTA have been reported in the literature [6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…PPTA usually originates from cavernous segment of internal carotid artery (ICA) and contacts with the central part of the basilar artery by coursing inside (medial, intrasellar type) or outside (lateral type) the sella [1]. Although patients are usually asymptomatic, it has been reported that it may accompany third and sixth cranial nerve palsies, aneurysms, vascular anomalies and hemifacial spasm [2][3][4]. The pituitary lesions accompanying PPTA and trigeminal neuralgia (TN) associated with a PPTA are rarely seen [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Ufuk¹,

Herek²

2017

MMJ

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Persistent primitive trigeminal artery (PPTA) is an abnormal embryonic vascular structure that provides connection between the carotid artery and vertebrobasilar system. PPTA usually originates from cavernous segment of internal carotid artery (ICA) and contacts with the central part of the basilar artery. The sellar lesions such as pituitary adenoma accompanying PPTA are very rare and PPTA is an unusual cause of trigeminal neuralgia. Herein, we present two cases of PPTA along with a prolactin secreting pituitary adenoma and trigeminal neuralgia (TN) due to PPTA, diagnosed by magnetic resonance imaging (MRI). We suggest that MRI would be able to properly plan and execute surgical treatment and avoid cerebral digital subtraction angiography (DSA). Keywords: Magnetic resonance imaging, Persistent trigeminal artery, Prolactinoma, Trigeminal Neuralgia ÖZPersistan primitif trigeminal arter (PPTA), anormal embriyonik vasküler yapı olup karotis arter ve vertebrobasiler sistem arasında bulunur. PPTA sıklıkla internal karotid arterin kavernöz segmentinden kaynaklanmakta olup basiller arterin santral kesimiyle birleşir. Hipofiz adenomları gibi sellar lezyonlara eşlik eden PPTA nadiren görülür ve PPTA, trigeminal nevraljinin nadir bir nedeni olabilir. Biz burada prolaktin salgılayan hipofiz adenomuna eşlik eden PPTA ve trigeminal nevraljiye neden olan PPTA tanısını manyetik rezonans görüntüleme (MRG) ile koyduğumuz iki olgu sunuyoruz. Cerrahi tedavinin planlanmasında ve yol göstermesinde invaziv yöntem olan serebral dijital substraksiyon anjiyografi (DSA)'den kaçarak, yerine MRG'nin kullanılabileceğini düşünüyoruz.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Ufuk¹,

Herek²

2017

MMJ

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“…Patients may be asymptomatic or present symptoms due to the flow of their posterior circulation or carotid microembolizations from the posterior circulation. In addition to these symptoms, PTA can cause trigeminal neuralgia (3,5).…”

Section: Discussionmentioning

confidence: 99%

“…Although the presence of PTAs is generally of uncertain significance, these arteries and their variants have been identified as a rare cause of cranial nerve dysfunction, including incomplete oculomotor nerve palsy, trigeminal neuralgia and hemifacial spasm (3)(4)(5) and sixth nerve palsy (6,7).…”

Section: Sumáriomentioning

confidence: 99%

Persistence of intrasellar trigeminal artery and simultaneous pituitary adenoma: description of two cases and their importance for the differential diagnosis of sellar lesions

Machado

Kodaira

Musolino

2014

Arq Bras Endocrinol Metab

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SUMMARYPersistent trigeminal artery (PTA) is the most frequent embryonic communication between the carotid and vertebrobasilar systems. However, hormonal changes or the association of PTA with other sellar lesions, such as pituitary adenomas, are extremely rare. The aim of the present study was to report two patients with intrasellar PTA and simultaneous pituitary adenoma in order to emphasize the importance of differential diagnoses for sellar lesions. Case 1. A female patient, 41 years old, was admitted with a history of chronic headache (> 20 years). Pituitary magnetic resonance imaging (MRI) showed a rounded lesion in the left portion of the pituitary gland suggestive of adenoma (most likely clinically non-functioning adenoma). In addition to this lesion, the MRI demonstrated ecstasy of the right internal carotid artery and imaging suggestive of an intrasellar artery that was subsequently confirmed by an angio-MRI of the cerebral vessels as PTA. Case 2. A female patient, 42 years old, was admitted with a history of amenorrhea and galactorrhea in 1994. Laboratorial investigation revealed hyperprolactinemia. Pituitary MRI showed a small hyposignal area in the anterior portion of pituitary gland suggestive of a microadenoma initiated by a dopaminergic agonist. Upon follow-up, aside from the first lesion, the MRI showed a well delineated rounded lesion inside the pituitary gland, similar to a vessel. Angio-MRI confirmed a left primitive PTA. Failure to recognize these anomalous vessels within the sella might lead to serious complications during transsphenoidal surgery. Therefore, although their occurrence is uncommon, a working knowledge of vascular lesions in the sella turcica or pituitary gland is important for the differential diagnosis of pituitary lesions, especially pituitary adenomas. Arq Bras Endocrinol Metab. 2014;58(6):661-5 SUMÁRIO Persistência da artéria trigeminal (PAT) é a comunicação embrionária mais frequente entre os sistemas carotídeo e vertebrobasilar. No entanto, alterações hormonais ou associação de PAT com outras lesões selares, como adenomas hipofisários, são extremamente raros. O objetivo do presente estudo foi relatar dois pacientes com PAT intrasselar e concomitante adenoma hipofisário e enfatizar a importância para o diagnóstico diferencial de lesões selares. Caso 1. Paciente do sexo feminino, 41 anos, admitida com história de cefaleia crônica (> 20 anos). Ressonância magnética (RM) de hipófise mostrou imagem arredondada na porção esquerda da glândula sugestiva de adenoma (provavelmente adenoma clinicamente não funcionante). Adicionalmente, a RM demonstrou ectasia da artéria carótida interna direita e imagem sugestiva de artéria intrasselar, posteriormente confirmada por angio-RM dos vasos cerebrais como PAT. Caso 2. Paciente do sexo feminino, 42 anos, admitida com história de amenorreia e galactorreia em 1994. A investigação laboratorial revelou hiperprolactinemia. RM de hipófise mostrou pequena área de hipossinal na porção anterior da glândula sugestiva de microadenoma, sendo iniciad...

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“…[17] Many authors have shown pain attacks of TN improving with antihypertensive medicines [ Table 1]. [18][19][20][21] However, a systematic and a relatively large-scale study is required to bring up a clear relationship of TN with hypertension. [22]…”

Section: Craniofacial Neuralgiform Pain and Hypertensionmentioning

confidence: 99%

Hypertension and Its Relation to Headache and Other Craniofacial Neuralgiform Pain

Paliwal¹,

Uniyal²,

Anand³

2018

johtn

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Trigeminal neuralgia and persistent trigeminal artery

Cited by 15 publications

References 12 publications

Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Persistence of intrasellar trigeminal artery and simultaneous pituitary adenoma: description of two cases and their importance for the differential diagnosis of sellar lesions

Hypertension and Its Relation to Headache and Other Craniofacial Neuralgiform Pain

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