Tsubaki S, Fukushima T, Tamagawa T, Miyazaki S, Watanabe K, Kuwana N, Shimizu T
Department of Neurosurgery, Mitsui Memorial Hospital, Tokyo, Japan.
J Neurosurg. 1989 Sep;71(3):368-74. doi: 10.3171/jns.1989.71.3.0368.
Posterior fossa microvascular decompression surgery was attempted in 1257 patients with trigeminal neuralgia (TN), of whom seven had a very unusual cryptic angioma. The lesions were not visualized on preoperative enhanced computerized tomography scans, and serial angiography demonstrated a small vascular stain in only one case. The character of the facial pain was indistinguishable from TN caused by vascular compression and there was no other specific symptomatology. The patients' age and sex distributions were also compatible with classical TN. Cryptic angiomas presenting as typical TN without other symptoms have not been reported before, but they should be kept in mind in the differential diagnosis and surgical management of TN.
对1257例三叉神经痛（TN）患者尝试进行后颅窝微血管减压手术，其中7例患有非常罕见的隐匿性血管瘤。术前增强计算机断层扫描未发现这些病变，连续血管造影仅在1例中显示出小的血管染色。面部疼痛的特征与血管压迫引起的TN无法区分，且没有其他特异性症状。患者的年龄和性别分布也与经典TN相符。以前尚未报道过表现为典型TN且无其他症状的隐匿性血管瘤，但在TN的鉴别诊断和手术治疗中应予以考虑。
