Skip to main content

Advertisement

SpringerLink
Log in

Trigeminal neuralgia caused by a dilated superior cerebellar artery and a draining vein of cerebellar arteriovenous malformations: a case report and review of the literature

  • Case Report - Functional
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Trigeminal neuralgia (TN) secondary to arterivenous malformations (AVMs) is relatively rare. We here report on a case of TN caused by cerebellar AVMs that was successfully treated by total AVMs resection in conjunction with microvasecular decompression (MVD) in one stage. In addition, we perform a review of the literature about the treatment of TN caused by cerebellar AVMs.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Almeida JP, Medina R, Tamargo RJ (2015) Management of posterior fossa arteriovenous malformations. Surg Neurol Int 6:31

    Article  PubMed  PubMed Central  Google Scholar 

  2. Athanasiou TC, Nair S, Coakham HB, Lewis TT (2005) Arteriovenous malformation presenting with trigeminal neuralgia and treated with endovascular coiling. Neurol India 53:247–248

    Article  CAS  PubMed  Google Scholar 

  3. Barker FG 2nd, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 334:1077–1083

    Article  PubMed  Google Scholar 

  4. Da Costa L, Thines L, Dehdashti AR, Wallace MC, Willinsky RA, Tymianski M, Schwartz ML, ter Brugge KG (2009) Management and clinical outcome of posterior fossa arteriovenous malformations: report on a single-centre 15-year experience. J Neurol Neurosurg Psychiatry 80:376–379

    Article  PubMed  Google Scholar 

  5. Dou NN, Hua XM, Zhong J, Li ST (2014) A successful treatment of coexistent hemifacial spasm and trigeminal neuralgia caused by a huge cerebral arteriovenous malformation: a case report. J Craniofacial Surg 25:907–910

    Article  Google Scholar 

  6. Edwards RJ, Clarke Y, Renowden SA, Coakham HB (2002) Trigeminal neuralgia caused by microarteriovenous malformations of the trigeminal nerve root entry zone: symptomatic relief following complete excision of the lesion with nerve root preservation. J Neurosurg 97:874–880

    Article  PubMed  Google Scholar 

  7. Eisenbrey AB, Hegarty WM (1956) Trigeminal neuralgia and arteriovenous aneurysm of the cerebellopontine angle. J Neurosurg 13:647–649

    Article  CAS  PubMed  Google Scholar 

  8. Garcia-Pastor C, Lopez-Gonzalez F, Revuelta R, Nathal E (2006) Trigeminal neuralgia secondary to arteriovenous malformations of the posterior fossa. Surg Neurol 66:207–211, discussion 211

    Article  PubMed  Google Scholar 

  9. Ge H, Lv X, Jin H, He H, Li Y (2016) Role of endovascular embolization for trigeminal neuralgia related to cerebral vascular malformation. Int Neuroradiol: J Peritherapeutic Neuroradiol, Surg Procedures Relat Neurosci 22:600–605

    Article  Google Scholar 

  10. Inoue T, Shima A, Hirai H, Suzuki F, Matsuda M (2016) Trigeminal neuralgia due to red vein draining a supratentorial arteriovenous malformation: case report. J Neurol Surg Reports 77:e109–112

    Article  Google Scholar 

  11. Johnson MC, Salmon JH (1968) Arteriovenous malformation presenting as trigeminal neuralgia. Case Report J Neurosurg 29:287–289

    CAS  PubMed  Google Scholar 

  12. Katusic S, Williams DB, Beard CM, Bergstralh EJ, Kurland LT (1991) Epidemiology and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgia: similarities and differences, Rochester, Minnesota, 1945-1984. Neuroepidemiology 10:276–281

    Article  CAS  PubMed  Google Scholar 

  13. Kono K, Matsuda Y, Terada T (2013) Resolution of trigeminal neuralgia following minimal coil embolization of a primitive trigeminal artery associated with a cerebellar arteriovenous malformation. Acta Neurochir 155:1699–1701

    Article  PubMed  Google Scholar 

  14. Lesley WS (2009) Resolution of trigeminal neuralgia following cerebellar AVM embolization with Onyx. Cephalalgia: Int J Headache 29:980–985

    Article  CAS  Google Scholar 

  15. Levitt MR, Ramanathan D, Vaidya SS, Hallam DK, Ghodke BV (2011) Endovascular palliation of AVM-associated intractable trigeminal neuralgia via embolization of the artery of the foramen rotundum. Pain Med (Malden, Mass) 12:1824–1830

    Article  Google Scholar 

  16. Lunsford LD, Bennett MH (1984) Percutaneous retrogasserian glycerol rhizotomy for tic douloureux: Part 1. Technique and results in 112 patients. Neurosurgery 14:424–430

    Article  CAS  PubMed  Google Scholar 

  17. Machet A, Aggour M, Estrade L, Chays A, Pierot L (2012) Trigeminal neuralgia related to arteriovenous malformation of the posterior fossa: three case reports and a review of the literature. J Neuroradiol Jde neuroradiologie 39:64–69

    CAS  Google Scholar 

  18. Magro E, Chainey J, Chaalala C, Al Jehani H, Fournier JY, Bojanowski MW (2015) Management of ruptured posterior fossa arteriovenous malformations. Clin Neurol Neurosurg 128:78–83

    Article  PubMed  Google Scholar 

  19. Mendelowitsch A, Radue EW, Gratzl O (1990) Aneurysm, arteriovenous malformation and arteriovenous fistula in posterior fossa compression syndrome. Eur Neurol 30:338–342

    Article  CAS  PubMed  Google Scholar 

  20. Mineura K, Sasajima H, Itoh Y, Kowada M, Tomura N, Goto K (1998) Development of a huge varix following endovascular embolization for cerebellar arteriovenous malformation. A case report. Acta Radiologica (Stockholm, Sweden : 1987) 39:189–192

    Article  CAS  Google Scholar 

  21. Mori Y, Kobayashi T, Miyachi S, Hashizume C, Tsugawa T, Shibamoto Y (2014) Trigeminal neuralgia caused by nerve compression by dilated superior cerebellar artery associated with cerebellar arteriovenous malformation: case report. Neurol Med Chir 54:236–241

    Article  Google Scholar 

  22. Nishino K, Hasegawa H, Morita K, Fukuda M, Ito Y, Fujii Y, Sato M (2016) Clinical characteristics of arteriovenous malformations in the cerebellopontine angle cistern. J Neurosurg:1-9

  23. Robert T, Blanc R, Ciccio G, Gilboa B, Fahed R, Boissonnet H, Redjem H, Pistocchi S, Bartolini B, Piotin M (2016) Endovascular treatment of posterior fossa arteriovenous malformations. J Clin Neurosci: Off J Neurosurg Soc Australasia 25:65–68

    Article  CAS  Google Scholar 

  24. Sato K, Jokura H, Shirane R, Akabane T, Karibe H, Yoshimoto T (2003) Trigeminal neuralgia associated with contralateral cerebellar arteriovenous malformation. Case illustration. J Neurosurg 98:1318

    Article  PubMed  Google Scholar 

  25. Silber MH, Sandok BA, Earnest F (1987) Vascular malformations of the posterior fossa. Clin Radiol Features Archives Neurol 44:965–969

    CAS  Google Scholar 

  26. Sinclair J, Kelly ME, Steinberg GK (2006) Surgical management of posterior fossa arteriovenous malformations. Neurosurgery 58:ONS-189-201; discussion ONS-201

  27. Son BC, Kim DR, Sung JH, Lee SW (2012) Painful tic convulsif caused by an arteriovenous malformation. Clin Neuroradiol 22:365–369

    Article  PubMed  Google Scholar 

  28. Tong X, Wu J, Lin F, Cao Y, Zhao Y, Wang S, Zhao J (2016) Cerebellar arteriovenous malformations: clinical feature, risk of hemorrhage and predictors of posthemorrhage outcome. World Neurosurg 92:206–217

    Article  PubMed  Google Scholar 

  29. Tsubaki S, Fukushima T, Tamagawa T, Miyazaki S, Watanabe K, Kuwana N, Shimizu T (1989) Parapontine trigeminal cryptic angiomas presenting as trigeminal neuralgia. J Neurosurg 71:368–374

    Article  CAS  PubMed  Google Scholar 

  30. Verbiest H (1961) Arterio-venous aneurysms of the posterior fossa, analysis of six cases. Acta Neurochir 9:171–195

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xuanwu District, Beijing, 100053, China

    Zi-Yi Li, Jian-Tao Liang, Hong-Qi Zhang, Yu-Hai Bao & Feng Ling

Authors
  1. Zi-Yi Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jian-Tao Liang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hong-Qi Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yu-Hai Bao
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Feng Ling
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Feng Ling.

Ethics declarations

Patient consent

The patient has consented to submission of this case report to the journal.

Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, ZY., Liang, JT., Zhang, HQ. et al. Trigeminal neuralgia caused by a dilated superior cerebellar artery and a draining vein of cerebellar arteriovenous malformations: a case report and review of the literature. Acta Neurochir 159, 689–694 (2017). https://doi.org/10.1007/s00701-016-3061-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-016-3061-4

Keywords

Search

Navigation