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Child's Nervous System

, Volume 24, Issue 6, pp 763–766 | Cite as

Successful vascular decompression in an 11-year-old patient with trigeminal neuralgia

  • A. SolthEmail author
  • N. Veelken
  • J. Gottschalk
  • E. Goebell
  • R. Pothmann
  • P. Kremer
Case Report

Abstract

Case report

We present the case of an 11-year-old boy who was suffering distinct trigeminal neuralgia. At the age of 3 years, the patient had contracted a severe Epstein–Barr virus infection and developed mild meningoencephalitis. Magnetic resonance imaging scans showed a slight enhancement in the pontomesencephalic cistern as well as a neurovascular conflict at the right trigeminal nerve. Intraoperatively, thickened fibrous tissue was found that was attached to both the trigeminal nerve and the superior cerebellar artery. Microvascular decompression using Gore Tex as tissue implant brought immediate relief.

Discussion

Trigeminal neuralgia in pediatric patients is very rare. We present a case of typical trigeminal neuralgia in a child, demonstrating the pathogenesis of the neurovascular conflict due to subarachnoidal adhesions after meningoencephalitis.

Keywords

Trigeminal neuralgia Microvascular decompression Children Subarachnoidal adhesions Neurovascular conflict Epstein–Barr virus Pontomesencephalic cistern 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • A. Solth
    • 1
    Email author
  • N. Veelken
    • 2
  • J. Gottschalk
    • 3
  • E. Goebell
    • 4
  • R. Pothmann
    • 5
  • P. Kremer
    • 1
  1. 1.Department of NeurosurgeryAsklepios Klinik Nord HeidbergHamburgGermany
  2. 2.Department of PediatricsAsklepios Klinik Nord HeidbergHamburgGermany
  3. 3.Department of NeuropathologyAsklepios Klinik Nord HeidbergHamburgGermany
  4. 4.Department of RadiologyAsklepios Klinik Nord HeidbergHamburgGermany
  5. 5.Center for Integrative Pain TherapyAsklepios Klinik Nord HeidbergHamburgGermany

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