title: Venous sinus thrombosis secondary to tuberculous meningitis: a novel cause of trigeminal neuralgia.
abstract: A 33-year-old Vietnamese man with a history of superior sagittal sinus thrombosis secondary to tuberculous meningitis presented with severe recurrent trigeminal neuralgia. A complex compensatory cerebral venous drainage system developed, and a varix, in direct contact with the root entry zone of the trigeminal nerve, was the trigger for his pain. The patient's symptoms are presently controlled with a combination of medications for neuropathic pain, however he continues to experience frequent severe exacerbations and may very well require more invasive means to manage his condition in future.
authors.affiliation: Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Chrisovalantis Athanasios
authors.initials: CA
authors.lastname: Tsimiklis
authors.affiliation: Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Cristian
authors.initials: C
authors.lastname: Gragnaniello
authors.affiliation: Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Amal
authors.initials: A
authors.lastname: Abou-Hamden
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012008:Recurrence; D020225:Sagittal Sinus Thrombosis / Q000150:complications* / Q000382:microbiology; D014277:Trigeminal Neuralgia / Q000175:diagnosis / Q000209:etiology*; D014390:Tuberculosis, Meningeal / Q000150:complications*