Abstract
The case of a patient with a right atypical trigeminal neuralgiacaused by a metastatic tumor involving the Meckel‘s cave is reported. His medical history was significant for colon-rectaladenocarcinoma. The preoperative diagnosis of Meckel‘s cave neoplasmwas made by MR. The patient underwent surgery, consisting oftotal removal of tumor and peeling of the ganglion and of the branches of the nerve, obtaining a histological diagnosis anda resolution of pain. The clinical, radiological findings and the treatment of this rare entity are discussed.
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Aoki S, Sasaki Y, Machida T, Tanioka H: Contrast enhanced MR images in patients with meningioma: importance of enhancement of the dura adjacent to the tumor. AJNR 11: 935–938, 1990
Beck DW, Menezes AH: Lesions in Meckel's cave: variable presentation and pathology. J Neurosurg 67: 684–689, 1987
Botticelli AR, Villani M, Angiari P, Peserico L: Meningeal melanocytoma of Meckel's cave associated with ipsilateral Ota's nevus. Case report. Cancer 51: 2304–2310, 1983
Bullit E, Tew JM, Boyd J: Intracranial tumors in patients with facial pain. J Neurosurg 64: 865–871, 1986
Butti G, Gaetani P, Giordana MT, Paoletti P: Meningiomas of Meckel's cave. Surg Neurol 20: 305–309, 1983
Daniels DL, Pech P, Pojunas NW, Nilgare DP, Williams AL, Haughton VM: Trigeminal nerve: anatomic correlation with MR imaging. Radiology 159: 577–583, 1986
Davis L, Martin J: Surgical lesions of the paratrigeminal area. JAMA 113: 1952–1955, 1939
De Benedittis G, Bernasconi V, Ettorre G: Tumors of the fifth cranial nerve. Acta Neurochir 38: 37–64, 1977
De Castro S, Spartis JT, Lopey JD, Freidberg SR: Amyloidoma of the Gasserian ganglion. Surg Neurol 6: 357–359, 1976
Delfini R, Innocenzi G, Ciappetta P, Domenicucci M, Cantore G: Meningiomas of Meckel's cave. Neurosurgery 31: 1000–1007, 1992
De Pena CA, Lee Y-Y, Van Tassel P: Lymphomatous involvement of the trigeminal nerve and Meckel cave: CT and MR appearance. AJNR 10: S15–S17, 1989
Fortuna A, Gambacorta D: Cylindroma in the region of the Gasserian ganglion. J Neurosurg 34: 427–431, 1971
Fraioli B, Esposito V, Guidetti B, Cruccu G, Manfredi M: Treatment of trigeminal neuralgia by thermocoagulation, glycerolization and percutaneous compression of the Gasserian ganglion and/or retro-Gasserian rootlets: long-term results and therapeutic protocol. Neurosurgery 24: 239–245, 1989
Hutchins LG, Harnsberger HR, Hordin CW, Dillon WP, Smoker WRN, Osborn AG: The radiologic assessment of trigeminal neuropathy. AJNR 10: 1031–1038, 1989
Kapila A, Chakeres DW, Blanco E: The Meckel cave: computed tomographic study. Radiology 152: 425–433, 1984
Krayenbühl H: Primary tumours of the root of the fifth cranial nerve: their distinction from tumours of the Gasserian ganglion. Brain 59: 337–352, 1936
Larson JJ, Tew JM Jr, Wiot JG, de Courten-Myers GM: Association of meningiomas with dural ‘tails’: surgical significance. Acta Neurochir 114: 59–63, 1992
Levy WJ, Ausbacher L, Byer J, Nutwiecwicz A, Fratkin J: Primary malignant nerve sheat tumor of the Gasserian ganglion: a report of two cases. Neurosurgery 13: 572–576, 1983
Midrani G, Dhanami AN, Gray T, Tucher WS, Bilbao JM: Adult peripheral neuroepithelioma in Meckel's cave. Neurosurgery 28: 313–316, 1991
Miyazawa N, Yomaseki H, Wakoo T, Nuhni H: Epidermoid tumors of Meckel's cave: case report and review of the literature. Neurosurgery 25: 951–955, 1989
Morimura T, Tani E, Yamama I, Nochi N: Fibrous xanthoma in the Gasserian ganglion: case report. Neurosurgery 19: 139–141, 1986
Nager GT: Neurinomas of the trigeminal nerve. Am J Otolaryngol 5: 301–333, 1984
New GB: Syndrome of malignant tumors of the nasopharynx. A report of seventy-nine cases. JAMA 79: 10–14, 1922
Nijensohn DE, Araujo JC, MacCarty CS: Meningiomas of Meckel's cave. J Neurosurg 43: 197–202, 1975
Peet MM: Tumours of the Gasserian ganglion. With the report of two cases of extracranial carcinoma infiltrating the ganglion by direct extension through the maxillary division. Surg Gynec Obstet 44: 202–207, 1927
Puca A, Meglio M, Tamburrini G, Vari R: Trigeminal involvement in intracranial tumours. Anatomical and clinical observations on 73 patients. Acta Neurochir 125: 47–51, 1993
Salem LE, Zaharia M, Travezan R: Carcinoma of the paranasal sinuses. Am J Surg 196: 826–830, 1963
Schisano G, Olivecrona H: Neuromas of the Gasserian ganglion and trigeminal root. J Neurosurg 17: 306–322, 1960
Tenuto RA, Canelas HM, Ricciardi Cruz O, FrancÇa LCM: Trigeminal neuralgia caused by cysticercosis of cavum meckelii. Report of two cases. J Neurosurg 20: 169–171, 1963
Yuh WT, Wright DC, Barloon TJ, Schultz DH, Soto Y, Cervantes CA: MR imaging of primary tumors of trigeminal nerve and Meckel's cave. AJR 151: 577–582, 1988
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Mastronardi, L., Lunardi, P., Farah, J.O. et al. Metastatic involvement of the Meckel‘s cave and trigeminal nerve. A case report.. J Neurooncol 32, 87–90 (1997). https://doi.org/10.1023/A:1005787624383
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DOI: https://doi.org/10.1023/A:1005787624383