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Treatment of pediatric trigeminal neuralgia with microvascular decompression: a case series and systematic review

Audrey A. Grossen, Courtney R. Iser, Amy B. Leming, Virendra R. Desai, and Deepti G. Chrusciel

performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. 6 After consultation with a medical librarian, a search of the PubMed, Embase, Medline, and Cochrane databases was conducted through November 1, 2022, with the following search terms: "(trigeminal neuralgia) AND (pediatric)." Articles were reviewed by one team member (C.R.I.) and interpretation was verified by a second team member (A.A.G.). Eligibility Criteria The following inclusion criteria were utilized: 1) studies must include patients diagnosed with

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Incomplete lateral medullary syndrome in a patient with Chiari malformation Type I presenting with combined trigeminal and vagal nerve dysfunction

Case report

Nader S. Dahdaleh and Arnold H. Menezes

right vocal cord movement. An MR imaging study demonstrated resolution of tonsillar herniation and adequate decompression at the craniocervical junction ( Fig. 4 ). F ig . 4. Midsagittal T1-weighted MR image (left) of brain and craniocervical region and axial MR image (right) obtained through the plane of the odontoid process. Note the adequate decompression at the craniocervical junction with resolution of tonsillar herniation. Discussion The association of trigeminal neuralgia and CM-I has been described in the literature. 2 , 4–8 , 10–12 , 14

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Occipitocondylar hyperplasia and syringomyelia presenting with facial pain

Case report

James S. Walkden, Richard A. Cowie, and John A. Thorne

well described and occipitocondylar hyperplasia is linked to malformation of the proatlas and the 4th occipital sclerotome. 9 , 10 This is a very rare malformation, with only single case reports of bilateral occipitocondylar hyperplasia described. 5 , 7 , 9 Whereas in all these cases the clinical presentation involved symptoms and signs of myelopathy, this unique case did not have any such features and is the first to describe facial pain presenting in isolation. Unilateral trigeminal neuralgia and facial pain has been described rarely as a presentation of Chiari

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Neuronavigation-guided implantation of foramen ovale electrodes in a child

Technical note

Paweł Daszkiewicz, Piotr Zwoliński, and Marcin Roszkowski

reduces the surgeon's stress, ensuring consistent success independent of the operator's experience. Conclusions Currently, based on available literature, neuronavigation technology is used successfully to guide placement of percutaneous thermocoagulation needles to treat trigeminal neuralgia. 1 , 2 To our knowledge, application of electromagnetic neuronavigation technology in the placement of FO electrodes in pediatric patients has not been described before. In our opinion, the idea of combining neuronavigation with skull base surgery and invasive diagnostic

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Macrovascular decompression of the median nerve for posttraumatic neuralgic limb pain

Case report

Aqueel Pabaney, Shawn L. Hervey-Jumper, Joseph Domino, Cormac O. Maher, and Lynda J. S. Yang

resulting from vascular compression of the cranial nerves is a well-known phenomenon. Trigeminal neuralgia is the most well-studied neurovascular compression syndrome. 1 , 5 , 6 Pain from trigeminal neuralgia is thought to result from focal demyelination in the region of compression and ectopic generation of spontaneous impulses and their ephaptic spread due to close apposition of those demyelinated axons. 7 Decompression of the nerve root leads to rapid relief and has been explained by the separation of demyelinated axons, remyelination, and the recovery of nerve

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Unusual mesencephalic developmental venous anomaly causing obstructive hydrocephalus due to aqueductal stenosis

Case report

Susanne Guhl, Michael Kirsch, Heinz Lauffer, Michael Fritsch, and Henry W. S. Schroeder

complications caused by compression of cerebral and neural structures, typically by the draining collector, are seen. In the majority of cases, however, flow-related complications due to an imbalance between in- and outflow in the DVA system have been described. 11 In most symptomatic DVAs, an association with other vascular malformations such as cavernous malformations was found. 12 Rare mechanical complications are as follows: 1) hydrocephalus by compression of the aqueduct; 9 , 13 or 2) neurovascular compression of cranial nerves inducing trigeminal neuralgia, facial

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Patients with Chiari malformation Type I presenting with acute neurological deficits: case series

Clinical article

Chester K. Yarbrough, Alexander K. Powers, Tae Sung Park, Jeffrey R. Leonard, David D. Limbrick, and Matthew D. Smyth

progressive sensory or motor findings. 12 , 13 , 15 , 26 Although the classic symptom pattern is evident for most cases, case reports describe 8 adult and 9 pediatric patients with various focal neurological findings including esotropia, ulnar neuropathy, carpal tunnel syndrome, focal motor deficits, vertigo, motor weakness and respiratory decline, hearing loss, and trigeminal neuralgia presenting progressively over a subacute to chronic time course. 4 , 7 , 8 , 16–18 , 28 , 29 , 31 , 34 , 35 , 37 A smaller number of case reports describe CM-I presenting with

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Cerebrospinal fluid shunt infection due to Gemella haemolysans

Case report

William B. Lo, Mitul Patel, Guirish A. Solanki, and Anthony Richard Walsh

normal bacterial flora of the oral cavity . J Clin Microbiol 43 : 5721 – 5732 , 2005 10.1128/JCM.43.11.5721-5732.2005 2 Anil M , Ozkalay N , Helvaci M , Agus N , Guler O , Dikerler A , : Meningitis due to Gemella haemolysans in a pediatric case . J Clin Microbiol 45 : 2337 – 2339 , 2007 10.1128/JCM.00208-07 3 Aspevall O , Hillebrant E , Linderoth B , Rylander M : Meningitis due to Gemella haemolysans after neurosurgical treatment of trigeminal neuralgia . Scand J Infect Dis 23 : 503 – 505 , 1991 10

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Clinical, radiological, and genetic similarities between patients with Chiari Type I and Type 0 malformations

Clinical article

Christina A. Markunas, R. Shane Tubbs, Roham Moftakhar, Allison E. Ashley-Koch, Simon G. Gregory, W. Jerry Oakes, Marcy C. Speer, and Bermans J. Iskandar

1001 F CM-I/S lt arm weakness, dysphagia, unstable gait, choking C-T basilar invagination NA 9453 1002 F CM-I/S bilat LE weakness, swallowing difficulties, nystagmus Me-C NA yes 9453 2002 F CM-I/S headache, dizziness, trigeminal neuralgia C-T NA NA 9495 0001 M CM-I/S rt claw hand & general hyperreflexia C tethering of hindbrain & medulla yes 9495 0100 M CM-0 rt claw hand & general hyperreflexia C NA yes 9509 0001 M CM-I/S LE hyperreflexia & clonus T fusion anomaly in C

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Prevalence and natural history of arachnoid cysts in children

Clinical article

Wajd N. Al-Holou, Andrew Y. Yew, Zackary E. Boomsaad, Hugh J. L. Garton, Karin M. Muraszko, and Cormac O. Maher

– 185 , 2002 10.1159/000065393 25 Kouyialis AT , Stranjalis G , Boviatsis EJ , Ziaka DS , Bouras TI , Sakas DE : Recurrence of trigeminal neuralgia due to an acquired arachnoid cyst . J Clin Neurosci 15 : 1409 – 1411 , 2008 10.1016/j.jocn.2006.10.027 26 Kusaka Y , Luedemann W , Oi S , Shwardfegar R , Samii M : Fetal arachnoid cyst of the quadrigeminal cistern in MRI and ultrasound . Childs Nerv Syst 21 : 1065 – 1066 , 2005 10.1007/s00381-005-1258-6 27 Levy ML , Wang M , Aryan HE , Yoo K , Meltzer H