Trigeminal neuralgia caused by a fibrous ring around the nerve

Case report

Toshikazu Kimura M.D., Tetsuro Sameshima M.D., Ph.D., and Akio Morita M.D., Ph.D.
View More View Less
  • Department of Neurosurgery and Stroke Unit, NTT Medical Center Tokyo, Japan
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

Trigeminal neuralgia is usually caused by compression of the nerve by vessels or a tumor. The authors report a case of trigeminal neuralgia not caused by vessel/tumor compression but by a constricting fibrous band around the trigeminal nerve. A 26-year-old man presented with typical trigeminal neuralgia. Although a gradient echo MR imaging demonstrated no offending vessel or a tumor, the patient agreed to undergo exploratory surgery. Intraoperatively, there were no vessels that could be the cause of the neuralgia; instead, the trigeminal nerve was constricted near the root entry zone. After the fiber was cautiously cut, the nerve expanded slightly. The neuralgia resolved without any neurological deficit, and the postoperative course was uneventful. A fibrous band around the trigeminal nerve can cause trigeminal neuralgia. When the symptom is typical and gradient echo MR imaging shows constriction of the trigeminal nerve, surgery is recommended to release the constricted the trigeminal nerve.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1

    Cirak B, , Kiymaz N, & Arslanoglu A: Trigeminal neuralgia caused by intracranial epidermoid tumor: report of a case and review of the different therapeutic modalities. Pain Physician 7:129132, 2004

    • Search Google Scholar
    • Export Citation
  • 2

    Hong W, , Zheng X, , Wu Z, , Li X, , Wang X, & Li Y, et al.: Clinical features and surgical treatment of trigeminal neuralgia caused solely by venous compression. Acta Neurochir (Wien) 153:10371042, 2011

    • Search Google Scholar
    • Export Citation
  • 3

    Ishikawa M, , Nishi S, , Aoki T, , Takase T, , Wada E, & Ohwaki H, et al.: Operative findings in cases of trigeminal neuralgia without vascular compression: proposal of a different mechanism. J Clin Neurosci 9:200204, 2002

    • Search Google Scholar
    • Export Citation
  • 4

    Jamjoom AB, , Jamjoom ZA, , al-Fehaily M, , el-Watidy S, , al-Moallem M, & Nain-Ur-Rahman Trigeminal neuralgia related to cerebellopontine angle tumors. Neurosurg Rev 19:237241, 1996

    • Search Google Scholar
    • Export Citation
  • 5

    Kondo A: Follow-up results of microvascular decompression in trigeminal neuralgia and hemifacial spasm. Neurosurgery 40:4652, 1997

  • 6

    Lee SH, , Levy EI, , Scarrow AM, , Kassam A, & Jannetta PJ: Recurrent trigeminal neuralgia attributable to veins after microvascular decompression. Neurosurgery 46:356362, 2000

    • Search Google Scholar
    • Export Citation
  • 7

    Matsushima T, , Huynh-Le P, & Miyazono M: Trigeminal neuralgia caused by venous compression. Neurosurgery 55:334339, 2004

  • 8

    Yamakami I, , Kobayashi E, , Hirai S, & Yamaura A: Preoperative assessment of trigeminal neuralgia and hemifacial spasm using constructive interference in steady state-three-dimensional Fourier transformation magnetic resonance imaging. Neurol Med Chir (Tokyo) 40:545556, 2000

    • Search Google Scholar
    • Export Citation
  • 9

    Yoshino N, , Akimoto H, , Yamada I, , Nagaoka T, , Tetsumura A, & Kurabayashi T, et al.: Trigeminal neuralgia: evaluation of neuralgic manifestation and site of neurovascular compression with 3D CISS MR imaging and MR angiography. Radiology 228:539545, 2003

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 353 72 5
Full Text Views 107 6 0
PDF Downloads 66 7 0
EPUB Downloads 0 0 0