Skip to main content
Log in

Trigeminal neuralgia related to cerebellopontine angle tumors

  • Original Articles
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Abstract

A review of 30 cases with cerebellopontine angle tumors was carried out to identify patients with trigeminal neuralgia (TN) at presentation and to compare them with patients without TN. The study shows that dermoid tumors and the presence of tumor at the apex of petrous bone on CT are associated with a significantly higher incidence of TN, while the incidence did not appear to be influenced by age, sex, or size of tumor. In all patients but one (with medulloblastoma) that had surgery, there the TN disappeared following total or subtotal excision of the tumor, providing the trigeminal nerve was well decompressed. Patients with TN should be investigated carefully by CT or MRI irre-spective of their age or the absence of neurological signs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Aksik I: Microneural decompression operations in the treatment of some forms of cranial rhizopathy. Acta Neurochir (Wien) 125 (1993) 64–74

    Google Scholar 

  2. Apfelbaum RI: Surgery for Tic douloureux. Clin Neurosurg 31 (1983) 351–368

    Google Scholar 

  3. Bederson JB, Wilson CB: Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71 (1989) 359–367

    Google Scholar 

  4. Bullitt E, Tew JM, Boyd J: Intracranial tumors in patients with facial pain. J Neurosurg 64 (1986) 865–871.

    Google Scholar 

  5. Cusick JF: A typical trigeminal neuralgia. JAMA 245 (1981) 2328–2329

    Google Scholar 

  6. Fischer G, Bret Ph, Hor F et al: Les Kystes epidermoides de L'angle pontocerebelleux 6 observations. Neurochirurgie (Paris) 30 (1984) 365–372

    Google Scholar 

  7. Fitt AW, Pigott TJ, Marks PV: Undiagnosed epidermoid cyst presenting as trigeminal neuralgia: a need of MRI. Br J Neurosurg 8 (1994) 101–103

    Google Scholar 

  8. Jamjoom AB, Coakham H, Torrens M: The treatment of trigeminal neuralgia by microvascular decompression and partial sensory rhizotomy. Ann Saudi Med 12 (1992) 16–23

    Google Scholar 

  9. Jannetta PJ: Treatment of trigeminal neuralgia by micro operative decompression. In: Youmans JR (ed) Neurological surgery 2nd edition. W.B. Saunders, Philadelphia, 1982

    Google Scholar 

  10. Lin PJ, Li CS, Chang GS: Experience in the management of cerebellopontine angle tumor: an analysis of 64 cases. Kao-Hsiung-I-Hsueh-Ko-Hsueh-Tsa-Chih. 7 (1991) 329–333

    Google Scholar 

  11. Ogleznev K.Y, Grigoryan Y.A, Slavin KV: Parapontine epidermoid tumors presenting as trigeminal neuralgias: Anatomical findings and operative results. Acta Neurochir (Wien) 110 (1991) 116–119

    Google Scholar 

  12. Olivecrona H: Cholesteatomas of the cerebellopontine angle. Acta Psychiatr Neurol Scand 24 (1949) 639–643

    Google Scholar 

  13. Piatt JH, Wilkins RH: Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic implications of various neurovascular relationships. Neurosurgery 14 (1984) 462–471

    Google Scholar 

  14. Puca A, Meglio M, Tamburrini G et al: Trigeminal involvement in intracranial tumors. Anatomical and clinical observations in 73 patients. Acta Neurochir (Wien) 125 (1993) 47–51

    Google Scholar 

  15. Revilla AG: Tic douloureux and its relationship to tumors of the posterior fossa. Analysis of twenty-four cases. J Neurosurg 4 (1947) 233–239

    Google Scholar 

  16. Rubin G, Scienza R, Pasqualin A et al: Craniocerebral epidermoids and dermoids. A review of 44 cases. Acta Neurochir (Wien) 97 (1989) 1–16

    Google Scholar 

  17. Symon L, Pell M, Singh L: Surgical management of posterior cranial fossa meningiomas. Br J Neurosurg 7 (1993) 599–609

    Google Scholar 

  18. Wegrzyn ZM: Trigeminal neuralgia and tumors of the cerebellopontine angle. Neurol-Neurochir-Pol 17 (1983) 245–251

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jamjoom, A.B., Jamjoom, Z.A.B., Al-Fehaily, M. et al. Trigeminal neuralgia related to cerebellopontine angle tumors. Neurosurg. Rev. 19, 237–241 (1996). https://doi.org/10.1007/BF00314838

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00314838

Keywords

Navigation