Chamadoira C, Cerejo A, Duarte F, Vaz R
Departamento de Neurocirugia, Hospital de São João, Porto, Portugal.
Neurocirugia (Astur). 2010 Feb;21(1):50-2.
In most cases, trigeminal neuralgia is due to compression of the trigeminal nerve in the zone of entrance at the pons by vascular structures. About 1% of cases, have trigeminal neuralgia associated with the presence of ipsilateral lesion of cerebellar-pontine angle. Rarely, trigeminal neuralgia may be due to contralateral posterior fossa tumors. We present a case of a 37-year- old patient who presented with right trigeminal neuralgia and harboured a left acoustic neuroma of significant dimension. Facial pain completely disappeared after tumor removal.
在大多数情况下,三叉神经痛是由于血管结构在脑桥入口处对三叉神经的压迫所致。约1%的病例中,三叉神经痛与同侧桥小脑角病变有关。极少数情况下,三叉神经痛可能是由对侧后颅窝肿瘤引起的。我们报告一例37岁患者,该患者表现为右侧三叉神经痛,且患有较大尺寸的左侧听神经瘤。肿瘤切除后面部疼痛完全消失。