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Cavernous Malformation in the Trigeminal Distribution: A Case Report of Aggressive Presentation and Management.
Frossard, João Thiago; Domingues, Flavio; Neves, Pedro; Canhedo, Nathalie; de Souza, Jorge Marcondes.
Afiliação
  • Frossard JT; Service of Neurosurgery and Post Graduation Program of Surgical Sciences, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Domingues F; Service of Neurosurgery and Post Graduation Program of Surgical Sciences, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Neves P; Department of Neuroradiology, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Canhedo N; Department of Pathology and Post-Graduation Program of Pathology, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
  • de Souza JM; Service of Neurosurgery and Post Graduation Program of Surgical Sciences, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address: jormarcondes@gmail.com.
World Neurosurg ; 86: 514.e19-22, 2016 Feb.
Article em En | MEDLINE | ID: mdl-26548819
BACKGROUND: Cavernous malformation (CM) is a vascular malformation found in the encephalic parenchyma, spinal cord, nerve roots, and extraneural tissue. CM in the trigeminal distribution is exquisitely uncommon and its biological behavior not completely understood. The clinical picture might be diverse, depending on the affected sector of the trigeminal architecture, and literature debating its pathobiology is scarce. CASE DESCRIPTION: We describe a case of 56-year-old woman who presented with left trigeminal neuralgia and a rapidly growing cavernous malformation of the entire distribution of the fifth nerve. The clinical picture evolved to a progressive gait ataxia and follow-up neuroimaging showed a large intracranial mass leading to a brainstem compression. After microsurgical resection, the mass proved to be a typical CM of the trigeminal root. CONCLUSION: We present an uncommonly aggressive progression of a CM of the trigeminal root, Gasserian ganglion, and cavernous sinus evolving to severe brainstem compression. The documentation of this unique case as well as its management is presented is discussed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neuralgia do Trigêmeo / Neoplasias Encefálicas / Hemangioma Cavernoso do Sistema Nervoso Central Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Middle aged Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neuralgia do Trigêmeo / Neoplasias Encefálicas / Hemangioma Cavernoso do Sistema Nervoso Central Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Middle aged Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos