桥小脑角肿瘤患者的三叉神经痛：我们是否总是归咎于肿瘤？一例病例报告及文献综述
Trigeminal neuralgia in patients with cerebellopontine angle tumors: should we always blame the tumor? A case report and review of literature.
作者信息
Thirumalai Vasu Srivatsan, Retnathankom Ayyadurai
机构信息
Department of Neurosurgery, Amrita Institute of Medical Sciences, Kochi, India.
Neurosurgery, Amrita Institute of Medical Sciences and Research Centre: Amrita Institute of Medical Sciences, Kochi, India.
出版信息
Scand J Pain. 2022 Aug 29;23(1):213-216. doi: 10.1515/sjpain-2021-0215. Print 2023 Jan 27.
OBJECTIVES
This report seeks to highlight a pitfall that may be encountered in the management of patients with trigeminal neuralgia with imaging showing both neurovascular conflict as well as tumors.
CASE PRESENTATION
A case of a 53 year old male with simultaneous neurovascular conflict and a vestibular schwannoma with trigeminal neuralgia is presented and the management is discussed with reference to managing this particular subset. Pain was noted to be likely generated by neurovascular conflict and not by the tumor, which is usually not the case.
CONCLUSIONS
It is suggested that in such cases, microvascular decompression should always be performed in addition to removal of the tumor.
目的
本报告旨在强调在三叉神经痛患者管理中可能遇到的一个陷阱，这些患者的影像学检查显示既有神经血管冲突又有肿瘤。
病例介绍
报告了一例53岁男性，同时存在神经血管冲突和伴有三叉神经痛的前庭神经鞘瘤，并参考该特定亚组的治疗方法讨论了治疗方案。疼痛被认为可能是由神经血管冲突而非肿瘤引起的，这通常并非如此。
结论
建议在这类病例中，除切除肿瘤外，还应始终进行微血管减压术。
Zotero 插件