Summary
Trigeminal neuralgia has been rarely reported in association with dural arteriovenous malformations (DAVMs). We describe a case of trigeminal neuralgia resulting from compression of the trigeminal nerve at its root entry zone by a large tentorial DAVM. Surgical interruption of the draining vein at its exit from the tentorium resulted in complete angiographic obliteration of the fistula with immediate resolution of the facial pain. We review the literature relevant to this topic and discuss the aetiology and pathophysiology of trigeminal neuralgia as well as the management of tentorial DAVMs.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
IA Awad (1995) Dural arteriovenous malformations RF Spetzler (Eds) Neurovascular surgery McGraw-Hill New York 905–932
IA Awad JR Little WP Akarawi J Ahl (1990) ArticleTitleIntracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course J Neurosurg 72 839–850 Occurrence Handle2140125 Occurrence Handle1:STN:280:DyaK3c3ltVCksQ%3D%3D
JA Borden JK Wu WA Shucart (1995) ArticleTitleA proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment J Neurosurg 82 166–179 Occurrence Handle7815143 Occurrence Handle1:STN:280:DyaK2M7hsVKrug%3D%3D
M Collice G D’Aliberti O Arena C Solaini RA Fontana G Talamonti (2000) ArticleTitleSurgical treatment of intracranial dural arteriovenous fistulae: role of venous drainage Neurosurgery 47 56–67 Occurrence Handle10917347 Occurrence Handle10.1097/00006123-200007000-00012 Occurrence Handle1:STN:280:DC%2BD3M%2FnsV2muw%3D%3D
MA Davies K TerBrugge R Willinsky T Coyne J Saleh MC Wallace (1996) ArticleTitleThe validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas J Neurosurg 85 830–837 Occurrence Handle8893721 Occurrence Handle1:STN:280:DyaK2s%2FkvV2qsw%3D%3D Occurrence Handle10.3171/jns.1996.85.5.0830
MA Davies K TerBrugge R Willinsky MC Wallace (1997) ArticleTitleThe natural history and management of intracranial dural arteriovenous fistulae. Part 2: aggressive lesions Interv Neuroradiol 3 303–311
R Du DK Binder V Halbach N Fischbein NM Barbaro (2003) ArticleTitleTrigeminal neuralgia in a patient with a dural arteriovenous fistula in Meckel’s cave: case report Neurosurgery 53 216–221 Occurrence Handle12823893 Occurrence Handle10.1227/01.NEU.0000069535.42897.1F
A Harders J Gilsbach W Hassler (1982) ArticleTitleDural AV malformation of the lateral and sigmoid sinuses as possible cause of trigeminal neuralgia. Case report Acta Neurochir (Wien) 66 95–102 Occurrence Handle10.1007/BF01809308 Occurrence Handle1:STN:280:DyaL3s%2Fps1Ojuw%3D%3D
M Ito T Sonokawa H Mishina Y Iizuka K Sato (1996) ArticleTitleDural arteriovenous malformation manifesting as tic douloureux Surg Neurol 45 370–375 Occurrence Handle8607089 Occurrence Handle10.1016/0090-3019(95)00438-6 Occurrence Handle1:STN:280:DyaK287otFOkuw%3D%3D
CJ Koebbe D Singhal J Sheehan JC Flickinger M Horowitz D Kondziolka LD Lunsford (2005) ArticleTitleRadiosurgery for dural arteriovenous fistulas Surg Neurol 64 IssueID5 392–398 Occurrence Handle16253680 Occurrence Handle10.1016/j.surneu.2004.12.026
S Love HB Coakham (2001) ArticleTitleTrigeminal neuralgia: pathology and pathogenesis Brain 124 2347–2360 Occurrence Handle11701590 Occurrence Handle10.1093/brain/124.12.2347 Occurrence Handle1:STN:280:DC%2BD3MnkvV2qsw%3D%3D
T Matsushige M Nakaoka K Ohta K Yahara H Okamoto K Kurisu (2006) ArticleTitleTentorial dural arteriovenous malformation manifesting as trigeminal neuralgia treated by stereotactic radiosurgery: a case report Surg Neurol 66 519–523 Occurrence Handle17084201 Occurrence Handle10.1016/j.surneu.2006.01.022
A Mendelowitsch EW Radue O Gratzl (1990) ArticleTitleAneurysm, arteriovenous malformation and arteriovenous fistula in posterior fossa compression syndrome Eur Neurol 30 338–342 Occurrence Handle2289511 Occurrence Handle1:STN:280:DyaK3M7ks1KjtA%3D%3D
D Ott S Bien L Krasznai (1993) ArticleTitleEmbolization of a tentorial dural arterio-venous fistula presenting as atypical trigeminal neuralgia Headache 33 503–508 Occurrence Handle8262798 Occurrence Handle10.1111/j.1526-4610.1993.hed3309503.x Occurrence Handle1:STN:280:DyaK2c%2Fos1ehtQ%3D%3D
M Soderman G Edner K Ericson B Karlsson T Rahn E Ulfarsson T Andersson (2006) ArticleTitleGamma knife surgery for dural arteriovenous shunts: 25 years of experience J Neurosurg 104 867–875 Occurrence Handle16776329
PR Tomak HJ Cloft A Kaga CM Cawley J Dion DL Barrow (2003) ArticleTitleEvolution of the management of tentorial dural arteriovenous malformations Neurosurgery 52 750–762 Occurrence Handle12657170 Occurrence Handle10.1227/01.NEU.0000053221.22954.85
HH Woo TJ Masaryk PA Rasmussen (2005) ArticleTitleTreatment of dural arteriovenous malformations and fistulae Neurosurg Clin N Am 16 381–393 Occurrence Handle15694169 Occurrence Handle10.1016/j.nec.2004.08.012
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Rahme, R., Ali, Y., Slaba, S. et al. Dural arteriovenous malformation: an unusual cause of trigeminal neuralgia. Acta Neurochir (Wien) 149, 937–941 (2007). https://doi.org/10.1007/s00701-007-1251-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-007-1251-9