Dural arteriovenous malformation: an unusual cause of trigeminal neuralgia.
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.
Department of Neurosurgery, Saint-Joseph University Faculty of Medicine and Hôtel-Dieu de France, Beirut, Lebanon.
R
R
Rahme
Y
Y
Ali
S
S
Slaba
E
E
Samaha
D000328:Adult; D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D002531:Cerebellum / Q000098:blood supply / Q000473:pathology; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000000981:diagnostic imaging; D002550:Cerebral Veins / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology; D019635:Neurosurgical Procedures; D014276:Trigeminal Nerve; D014277:Trigeminal Neuralgia / Q000209:etiology*