Geniculate neuralgia in an adolescent treated via sectioning of the nervus intermedius and microvascular decompression

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  • 1 University of Colorado School of Medicine, Aurora; and
  • 2 UC Health Brain, Spine, and Physical Medicine and Rehabilitation Clinic, Colorado Springs, Colorado
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Geniculate neuralgia or nervus intermedius (NI) neuralgia is a rare condition characterized by intermittent, severe, stabbing deep ear pain. The pain can be triggered by stimulation of the external ear and is sometimes accompanied by facial pain. The condition is thought to result, in part, from vascular compression of the NI, although other etiologies exist. To date, fewer than 150 cases have been described in the English-language literature, and only 1 case of surgically treated geniculate neuralgia with microvascular decompression (MVD) of cranial nerves VIII, IX, and X has been described in a pediatric patient. Here, the authors present the case of an adolescent boy with bilateral geniculate neuralgia treated at two different time points with sectioning of the NI and MVD.

ABBREVIATIONS AICA = anterior inferior cerebellar artery; CN = cranial nerve; GN = geniculate neuralgia; MVD = microvascular decompression; NI = nervus intermedius; PTFE = polytetrafluorethylene.

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Contributor Notes

Correspondence Derek D. George: University of Colorado School of Medicine, Aurora, CO. derek.d.george@cuanschutz.edu.

INCLUDE WHEN CITING Published online May 8, 2020; DOI: 10.3171/2020.3.PEDS19584.

Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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