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Academia Mexicana de Neurología, A.C.

2016, Number 5

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Rev Mex Neuroci 2016; 17 (5)

Tentorial dural arteriovenous malformation manifesting as trigeminal neuralgia treated by endovascular therapy: Case report

Martinez RHR, Meza CME

Language: Spanish
References: 16
Page: 116-123
PDF size: 145.10 Kb.


ABSTRACT

Objective: To describe a rare case of trigeminal neuralgia (TN) secondary a dural tentorial arteriovenous fistula (DAVF).
Case report: We describe a case of a 70 year-old male with diagnosis of TN, an MRI showed a hypointense signal lesion with a hyperintense core in the left perimesencephalic cistern suggesting the occurrence of a vascular structure. The diagnosis of TN due to vascular malformation was established. Then a cerebral angiography showed a Dural Arteriovenous Fistula dependent of the left carotid system. He was treated by endovascular therapy. The following day after the procedure was completed the patient showed marked improvement of his symptoms, without presenting pain recurrence and he was hospital discharged 4 days after admission. The patient remains asymptomatic 6 months after the procedure.
Conclusions: TN secondary to DAVF is an extremely rare condition. Our patient represents the 15 reported case in the world literature. Although several therapeutic approaches have been described, endovascular therapy is more constantly employed in these cases. In the patient described here endovascular treatment produced pain remission with no recurrence. Though, in TN cases due to DAVF the optimum treatment remains unclear.


REFERENCES

  1. Krafft R. Trigeminal Neuralgia. American Academy of Family Physician. May 1, 2008. Vol 77, Num 9.

  2. Nurmikko J, Elridge P. Trigeminal neuralgia, pathophysiology, diagnosis and current treatment. British Journal of Anaesthesia 2001, 87, (1): 117-32.

  3. Wakuta N, Ueba T, Aebe H, Nonaka M, Higashi T, et.al. Secondary trigeminal Neuralgia caused by a tentorial dural arteriovenous fistula: A case report and literatura report. Med Bull Fukuoka Univ, 2013, 40: 61-65.

  4. Wakuta N, Ueba T, Aebe H, Nonaka M, Higashi T, et.al. Secondary trigeminal Neuralgia caused by a tentorial dural arteriovenous fistula: A case report and literatura report. Med Bull Fukuoka Univ, 2013, 40: 61-65.

  5. Rahme R, Ali Y, Slaba S, Samaha E. Dural arteriovenous malformation: an unusual case of trigeminal neuralgia. Acta Neurochir 2007, 149: 937-941.

  6. Du R, Binder DK, Halbach V, Fischbein N, Barbaro NM. Trigeminal neuralgia in a patient with a dural arteriovenous fistula in Meckel’s cave: Case report. Neurosurgery 53: 216-221, 2003.

  7. Harders A, Gilsbach J, Hassler W. Dural AV malformation of the lateral and sigmoid sinuses as possible cause of trigeminal neuralgia: Case report. Acta Neurochir(Wein)66: 95-102, 1982.

  8. Ito M, Sonokawa T, Mishina H, Iizuka Y, Sato K. Dural arteriovenous malformation manifesting as tic douloureux. Surg Neurol 45: 370-375, 1996.

  9. Lucas CP, Zabramski JM. Dural arteriovenous fistula of the transverse-sigmoid sinus causing trigeminal neuralgia. Acta Neurochir(Wien)149: 1249-1253, 2007.

  10. Matsushige T, Nakaoka M, Ohta K, Yahara K, Okamoto H, Kurisu K. Tentorial dural arteriovenous malformation manifesting as trigeminal neuralgia treated by stereotactic radiosurgery: A case report. Surg Neurol 66: 519-523, 2006.

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

  12. Ott D, Bien S, Krasznai L. Embolization of a tentorial dural arterio-venous fistula presenting as atypical trigeminal neuralgia. Headache 33: 503-508, 1993.

  13. Seo H, Yamagiwa O, Nakai O. A case of posterior fossa dural arteriovenous fistula presenting as trigeminal neuralgia. Neurological Medicine(Tokyo) 34: 429-432, 1991.

  14. Tomak PR, Cloft HJ, Kaga A, Cawley CM, Dion J, Barrow DL. Evolution of the management of tentorial dural arteriovenous malformations. Neurosurgery 52: 750-762, 2003.

  15. Lu X, Qin X, Ni L, Chen J, Xu F. Tentorial dural arteriovenous fistula manifesting as contralateral trigeminal neuralgia: resolution after transarterial onyx embolization. BMJ Case Rep, 2013 Nov 27; 2013.

  16. Akhaddar A, Gazzar M, Elmostarchid B, et.al. Trigeminal neuralgia and dural Arteriovenous fistula in an edentulous man. Headache. 2010 May;50(5):861-2




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