Quintessence Int. 2022 Jun 20;53(7):624-630. doi: 10.3290/j.qi.b3045159.
This case report describes the rare occurrence of an epidermoid tumor compressing the ipsilateral trigeminal nerve resulting in secondary trigeminal neuralgia. MRI is the imaging modality of choice for the diagnosis of secondary trigeminal neuralgia. The epidermoid tumor was discovered by an orofacial pain specialist after reassessing the MRI study, previously reported as normal. Clinicians encounter a diagnostic dilemma when the clinical picture is not consistent with the MRI reports, clinical presentation, and expected results of treatment. The reassessment of the MRI and discovery of the epidermoid tumor resulted in a prompt referral to a neurosurgeon with a successful treatment outcome.
本病例报告描述了一种罕见情况，即表皮样肿瘤压迫同侧三叉神经，导致继发性三叉神经痛。磁共振成像（MRI）是诊断继发性三叉神经痛的首选影像学方法。在重新评估先前报告正常的 MRI 研究后，口腔颌面疼痛专家发现了表皮样肿瘤。当临床表现与 MRI 报告、临床表现和预期治疗结果不一致时，临床医生会遇到诊断难题。重新评估 MRI 并发现表皮样肿瘤后，患者被迅速转介给神经外科医生，治疗效果成功。
