Tjahjadi Mardjono, Wijaya Vincent, Serrone Joseph, Caropeboka Muhammad Sinatrya
Department of Surgery, Universitas Pembangunan Nasional Veteran Jakarta/Pasar Minggu Regional Hospital, Jakarta, Indonesia.
Department of Surgery, Universitas Katolik Indonesia Atmajaya, Jakarta, Indonesia.
Asian J Neurosurg. 2020 Aug 28;15(3):745-749. doi: 10.4103/ajns.AJNS_229_20. eCollection 2020 Jul-Sep.
Trigeminal neuralgia (TN) secondary to cerebellar arteriovenous malformation (cAVM) is a rare condition with only few reports existing in the literatures. Given to its rarity, the treatment armamentarium is still controversial. We reported our experiences treated two cases of TN secondary to cAVM using different strategies. The first case was successfully treated by a combination of gamma knife radiosurgery and microvascular decompression (MVD) of the trigeminal nerve. The second case was successfully treated by one-step microsurgical AVM resection and MVD of the trigeminal nerve. Postoperative immediate pain relief was achieved in both patients. Microsurgical procedure is still playing an important role in treating TN secondary to cAVM.
继发于小脑动静脉畸形（cAVM）的三叉神经痛（TN）是一种罕见疾病，文献中仅有少数报道。鉴于其罕见性，治疗方法仍存在争议。我们报告了使用不同策略治疗2例继发于cAVM的TN的经验。第一例通过伽玛刀放射外科手术和三叉神经微血管减压术（MVD）联合成功治疗。第二例通过一步显微手术切除AVM和三叉神经MVD成功治疗。两名患者术后均立即实现疼痛缓解。显微手术在治疗继发于cAVM的TN中仍发挥着重要作用。
