[Posterior petrous meningioma with secondary trigeminal neuralgia: microsurgical resection after stereotactic radiosurgery (case report and literature review)]. / Meningioma zadnei poverkhnosti piramidy visochnoi kosti s vtorichnoi trigeminal'noi nevralgiei: mikrokhirurgicheskaya rezektsiya posle stereotaksicheskoi radiokhirurgii (klinicheskii sluchai i obzor literatury).
Zh Vopr Neirokhir Im N N Burdenko
; 88(4): 85-91, 2024.
Article
en Ru
| MEDLINE
| ID: mdl-39169586
ABSTRACT
According to the literature, cerebellopontine angle tumors cause secondary trigeminal neuralgia and other symptoms of neurovascular compression in 1-9.9% of cases. We present a 58-year-old patient with left-sided secondary trigeminal neuralgia caused by ipsilateral posterior petrous meningioma. Stereotactic irradiation was followed by effective tumor growth control. However, residual trigeminal pain paroxysms significantly reduced the quality of life and required subsequent microsurgery. Trigeminal facial pain regressed after total resection of tumor. Considering this clinical case, we would like to discuss several issues follow-up of meningioma requiring radiosurgery, course of secondary trigeminal neuralgia in a patient with apical petrous meningioma, characteristics of pain before and after radiosurgery, the best treatment option for these patients. Stereotactic radiosurgery seems unreasonable for CPA tumors with secondary trigeminal neuralgia. Indeed, persistent pain is possible even after tumor shrinkage. Moreover, primary stereotactic irradiation significantly complicates subsequent resection of tumor.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neuralgia del Trigémino
/
Radiocirugia
/
Meningioma
Límite:
Humans
/
Middle aged
Idioma:
Ru
Revista:
Zh Vopr Neirokhir Im N N Burdenko
Año:
2024
Tipo del documento:
Article
País de afiliación:
Rusia
Pais de publicación:
Rusia