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Related Experiment Videos

Symptomatic trigeminal neuralgia.

D Vassilakis1, M Phylaktakis, P Selviaridis

  • 1Department of Neurological Surgery, Ahepa Hospital, University of Thessaloniki, Greece.

Journal of Neurosurgical Sciences
|July 1, 1988
PubMed
Summary
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Intracranial neoplasms, such as meningiomas, can cause trigeminal neuralgia, mimicking essential trigeminal neuralgia. Tumors near the gasserian ganglion may present with atypical facial pain and sensory deficits.

Area of Science:

  • Neurology
  • Neurosurgery
  • Oncology

Background:

  • Trigeminal neuralgia (TN) is a debilitating facial pain condition.
  • Idiopathic trigeminal neuralgia is common, but secondary causes must be considered.
  • Intracranial neoplasms are a potential, though less common, cause of TN.

Purpose of the Study:

  • To investigate the presentation and characteristics of trigeminal neuralgia secondary to intracranial neoplasms.
  • To differentiate TN caused by tumors from essential trigeminal neuralgia.
  • To discuss potential causative factors for symptomatic trigeminal neuralgia.

Main Methods:

  • Case study analysis of four patients with trigeminal neuralgia and intracranial neoplasms.
  • Clinical examination focusing on facial pain characteristics and sensory deficits.

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  • Radiological assessment to identify tumor location and type.

    • Main Results:

    • Two cases presented with meningiomas of the cerebellopontine angle, causing symptoms similar to essential trigeminal neuralgia.
    • Two cases with tumors in the gasserian ganglion area exhibited atypical facial pain.
    • All four patients displayed associated sensory trigeminal deficits.

    Conclusions:

    • Intracranial neoplasms are an important differential diagnosis for trigeminal neuralgia.
    • Tumor location influences the clinical presentation of secondary trigeminal neuralgia.
    • Sensory trigeminal deficits are a common finding in neoplasm-associated trigeminal neuralgia.