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Trigeminal neurinomas.

W E Fee, C D Epsy, H R Konrad

    The Laryngoscope
    |February 11, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Trigeminal neurinomas can mimic other conditions, causing facial pain and neurological symptoms. Early diagnosis via clinical and radiographic findings ensures excellent prognosis with surgical removal.

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    Area of Science:

    • Neurosurgery
    • Neurology
    • Radiology

    Background:

    • Trigeminal neurinomas present with diverse symptoms like facial pain, sensory loss, and palsy.
    • These symptoms can lead to misdiagnosis, often confused with nasopharyngeal or acoustic neurinomas.

    Purpose of the Study:

    • To outline the diagnostic features of trigeminal neurinomas.
    • To emphasize the importance of prompt diagnosis and treatment.

    Main Methods:

    • Diagnosis relies on clinical presentation and specific radiographic findings.
    • Radiographic hallmarks include foramen ovale widening and petrous apex destruction.

    Main Results:

    • Trigeminal neurinomas can manifest as atypical facial pain, facial palsy, hearing loss, and vertigo.

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  • Radiographic evidence of foramen ovale widening or petrous apex erosion is key.

    • Conclusions:

    • Accurate diagnosis of trigeminal neurinomas is achievable through combined clinical and radiographic assessment.
    • Surgical resection via transtemporal craniotomy offers an excellent prognosis.