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Trigeminal neurology meningioma

Srinivas Chivukula, Won Kim, Xiaoyi Zhuo, Stephen Tenn, Tania Kaprealian, Antonio DeSalles, Nader Pouratian
BACKGROUND: The mechanisms by which surgery and radiation elicit pain relief in trigeminal neuralgia (TN) secondary to mass lesions vary widely. We aimed to evaluate the outcomes of radiation to the nerve rather than to the lesion in the treatment of secondary TN. METHODS: We retrospectively reviewed all patients who underwent radiation at the University of California, Los Angeles for TN secondary to tumors. The Barrow Neurological Institute (BNI) pain score was used to evaluate pain outcomes...
October 1, 2016: World Neurosurgery
Ahmed Hegazy, Ahmed Alfiki, M Fathy Adel, M Fm Alsawy, M Fouad Al-Dash, Mostafa Zein, Sameh M Amin, Hieder Al-Shami, Arundhati Biswas
BACKGROUND: Radiosurgery seems to be a very appealing option for patients having a small petrous apex meningioma and presenting with trigeminal neuralgia, presumably because of the lower risk and cost involved. The aim of this study was to analyze the results of our surgical series of petrous apex meningioma presenting with trigeminal neuralgia, and to determine the efficacy of neurosurgical treatment with regard to pain control. The procedure-related complication and morbidity rates were also evaluated...
September 2016: Neurology India
Leonardo Rangel-Castilla, Jonathan J Russin, Robert F Spetzler
AIM: To present a review of the contemporary surgical management of skull base tumors. BACKGROUND: Over the last two decades, the treatment of skull base tumors has evolved from observation, to partial resection combined with other therapy modalities, to gross total resection and no adjuvant treatment with good surgical results and excellent clinical outcomes. MATERIALS AND METHODS: The literature review of current surgical strategies and management of skull base tumors was performed and complemented with the experience of Barrow Neurological Institute...
July 2016: Reports of Practical Oncology and Radiotherapy
Kyung Rae Cho, Min Ho Lee, Yong Seok Im, Doo-Sik Kong, Ho Jun Seol, Do-Hyun Nam, Jung-Il Lee
BACKGROUND: Investigate the clinical outcomes of gamma knife radiosurgery (GKS) in patients with benign intracranial lesions and accompanying trigeminal neuralgia (TN). METHODS: From February 2002 to November 2011, 50 patients (11 males, 39 females) underwent GKS for intracranial lesions accompanied by TN. Pathological diagnoses included meningioma in 30 patients, vestibular schwannoma in 11, trigeminal schwannoma in 7, epidermoid cyst in 1, and arteriovenous malformation in 1...
April 4, 2016: Headache
Marta Fernández-Matarrubia, Álvaro Gutiérrez-Viedma, María-Luz Cuadrado
BACKGROUND: To date, no symptomatic forms of epicrania fugax (EF) have been reported. Here, we describe the first EF-type pain to be probably caused by an underlying disorder. CASE REPORT: A 77-year-old woman started suffering from left V1-V2 trigeminal neuralgia at 72 years of age. Neurologic examination was normal. Magnetic resonance imaging (MRI) showed a left middle sphenoid wing meningioma compressing the left trigeminal nerve medially. After trying several neuromodulators, she received stereotactic radiotherapy...
April 1, 2016: Cephalalgia: An International Journal of Headache
R Aboukais, N-X Bonne, M Baroncini, F Zairi, S Schapira, C Vincent, J-P Lejeune
INTRODUCTION: Neurofibromatosis type 2 is characterized by the presence of bilateral vestibular schwannomas. However, other nervous system tumors may also occur. Therefore, the management of NF2 patients is complex and requires a multidisciplinary discussion in a specialized center. MATERIALS AND METHODS: All recent articles concerning tumors other than vestibular schwannoma in NF2 disease were reviewed, using PubMed databases. RESULTS: Intracranial meningiomas occur in 50% of NF2 patients, and are often multiple...
June 9, 2015: Neuro-Chirurgie
Shyamal C Bir, Tabitha Ward, Papireddy Bollam, Anil Nanda
OBJECTIVE: Gamma knife radiosurgery (GKRS) has emerged as an important therapeutic alternative for different intracranial lesions. We have reviewed our institution's first 1,000 cases of radiosurgeries. MATERIALS AND METHODS: We performed a retrospective review (2000-2013) of 1,017 radiosurgeries in 911 patients with various intracranial lesions including vestibular schwannoma (82), meningioma (136), metastatic brain tumors (298), astrocytoma (49), pituitary adenoma (92), arteriovenous malformation (85) and trigeminal neuralgia (169)...
March 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Yasuhiko Hayashi, Masayuki Iwato, Daisuke Kita, Katsuyoshi Miyashita, Tomokazu Yoshizaki, Jun-ichiro Hamada
A 42-year-old woman presented with right oculomotor, abducens, and trigeminal palsy. Neuroimaging revealed a small lesion in the right cavernous sinus mimicking meningioma. Because the symptoms gradually worsened, the patient underwent an endoscopic endonasal transsphenoidal surgery for tumor biopsy. Histological examination of the surgical specimen revealed adenoid cystic carcinoma (ACC). Before and after the operation, no evidence of other primary lesions could be detected. The patient was treated with stereotactic radiosurgery (SRS)...
2014: Turkish Neurosurgery
Naoki Otani, Kojiro Wada, Yasushi Kobayashi, Kohsuke Kumagai, Hideaki Ueno, Hideo Osada, Yasuaki Nakao, Takuji Yamamoto, Kentaro Mori
OBJECTIVE: Surgical treatment of paraclinoid tumors adjacent to important anatomical structures, such as the optic nerve, optic chiasm, pituitary stalk, and internal carotid artery, should emphasize maximum resection and preservation of visual function. Thus, early localization and exposure of the optic nerve, and complete mobilization and decompression of the optic nerve and internal carotid artery, are necessary in order to prevent intraoperative neurovascular injuries. However, this technique requires wide exposure of the optic-carotid space through the interpeduncular cistern...
October 2014: No Shinkei Geka. Neurological Surgery
Venelin M Gerganov, Mario Giordano, Erck Elolf, Almarzooq Osamah, Samii Amir, Samii Madjid
OBJECT: Trigeminal neuralgia (TGN) occurring after radiosurgical treatment of cerebellopontine or petroclival tumors may be very difficult to control. Our aim was to determine the efficacy of neurosurgical treatment in regards to pain control and to evaluate the procedure-related complication and morbidity rates. METHODS: Retrospective study of a series of operated patients with radiosurgery-induced TGN. The primary goal of the surgery was to inspect and decompress the trigeminal nerve; the second goal was to remove the tumor remnant completely, if safely feasible...
July 2014: Clinical Neurology and Neurosurgery
Sebastião Francisco Miranda Correa, Gustavo Nader Marta, Manoel Jacobsen Teixeira
BACKGROUND: The tumor removal of Cavernous Sinus Meningiomas usually results in severe neurological deficits. Stereotactic radiosurgery (SRS) and fractionated Stereotactic radiotherapy (SRT) are advanced modalities of radiotherapy for treatment of patients with inoperable and symptomatic CSMs. The authors evaluated the long term symptomatology, the image findings, and the toxicity of patients with CSMs treated with SRS or SRT. PATIENTS AND METHODS: From 1994 to 2009, 89 patients with symptomatic CSMs were treated with SRS or SRT...
2014: Radiation Oncology
Daniel G de Souza, Leo F S Ditzel Filho, Girma Makonnen, Matteo Zoli, Cristian Naudy, Jun Muto, Daniel M Prevedello
We present the case of a 50-year-old female with a 1-year history of right-side facial numbness, as well as an electric shock-like sensation on the right-side of the face and tongue. She was previously diagnosed with vertigo and trigeminal neuralgia. MRI was obtained showing a large right cerebellopontine angle mass. A retrosigmoid approach was performed and total removal was achieved after dissection of tumor from brainstem and cranial nerves IV, V, VI, VII and VIII. Pathology confirmed the diagnosis of a meningioma (WHO Grade I)...
January 2014: Neurosurgical Focus
Seong-Hyun Park, Hideyuki Kano, Ajay Niranjan, John C Flickinger, L Dade Lunsford
OBJECT: To assess the long-term outcomes of stereotactic radiosurgery (SRS) for cerebellopontine angle (CPA) meningiomas, the authors retrospectively reviewed data from a 20-year experience. They evaluated progression-free survival as well as improvement, stabilization, or deterioration in clinical symptoms. METHODS: Seventy-four patients with CPA meningiomas underwent SRS involving various Gamma Knife technologies between 1990 and 2010. The most common presenting symptoms were dizziness or disequilibrium, hearing loss, facial sensory dysfunction, and headache...
March 2014: Journal of Neurosurgery
Xinru Xiao, Liwei Zhang, Zhen Wu, Junting Zhang, Guijun Jia, Jie Tang, Guolu Meng
The authors describe a modified anterior transpetrous approach (ATPA) for the surgical resection of 21 cases of petroclival meningiomas (PCMs). Briefly, a curved periauricular skin incision was used. The cerebellar tentorium and the dura on the petrous apex were coagulated and incised to expose the petrous apex bone fully. The drilling of the petrous apex bone was performed subdurally and began internally from the trigeminal impression, not exceeding 1.5 cm laterally, not exceeding 6 mm from the posterior edge of the petrous ridge, and not exceeding 8 mm in depth from the surface of the petrous bone...
October 2013: Neurosurgical Review
Russell J M Lane, Paul T G Davies
BACKGROUND: The current definition of cough headache includes provocation of the symptom by Valsalva manoeuvre, and it is generally believed that all cough headache results from a sudden increase in intracranial pressure. We sought to question that presumption and to determine whether the Valsalva test might distinguish primary from secondary cough headache. METHODS: We examined 16 consecutive cough headache patients using a modified Valsalva test (exhalation into the connecting tube of a standard anaeroid sphygmomanometer to 60 mm Hg for 10 seconds)...
2013: Journal of Headache and Pain
Sarah E Squire, Michael D Chan, R Michael Furr, Dorothy A Lowell, Stephen B Tatter, Thomas L Ellis, J Daniel Bourland, Allan F Deguzman, Michael T Munley, Kenneth E Ekstrand, Edward G Shaw, Kevin P McMullen
BACKGROUND: Intracranial neoplasms can cause pain similar to trigeminal neuralgia. Literature regarding radiosurgery for this is limited. We present a retrospective review of patients with tumor-related facial pain from benign lesions treated with gamma knife radiosurgery (GKRS) at Wake Forest University. OBJECTIVES: The primary objectives were to determine long-term pain relief and predictive factors for pain alleviation. METHODS: We reviewed 515 patients treated with GKRS for benign meningioma, vestibular schwannoma or trigeminal schwannoma between August 1999 and August 2010...
2012: Stereotactic and Functional Neurosurgery
Michele Rotondo, Raffaele D'Avanzo, Massimo Natale, Annamaria Porto, Rossella Ferrara, Assunta Scuotto
No abstract text is available yet for this article.
February 2012: Clinical Neurology and Neurosurgery
Jieqin Gong, Jun Li, Hui Liang
A 23-year-old woman presented with trigeminal neuralgia four months after hematopoietic stem cell transplantation (HSCT) for acute myeloblastic leukemia. No leukemic cells were found in the cerebrospinal fluid. Initial brain magnetic resonance imaging (MRI) did not reveal any abnormality. After symptom exacerbation with diplopia, second MRI showed an irregular mass at the right petrous apex, with uniform enhancement and a clear margin which was interpreted as a meningioma. The pathology and immunohistochemistry finally confirmed the diagnosis of granulocytic sarcoma...
2011: Internal Medicine
Soichi Oya, Burak Sade, Joung H Lee
OBJECT: The aim of this study was to describe the surgical technique used for removal of sphenoorbital meningiomas in the authors' practice and to review the operative outcome. METHODS: Review of the senior author's practice between 1994 and 2009 revealed 39 patients (mean age 48 years) eligible for this study. Clinical presentation, surgical technique, postoperative outcome, and follow-up data are presented. Surgical technique is detailed, with an emphasis on aggressive removal consisting of drilling of the hypertrophied sphenoid bone, orbital wall, and anterior clinoid process, followed by tumor removal and a wide resection of the involved dura...
May 2011: Journal of Neurosurgery
Hideyuki Kano, Nasir R Awan, Thomas J Flannery, Aditya Iyer, John C Flickinger, L Dade Lunsford, Douglas Kondziolka
BACKGROUND: The management of trigeminal neuralgia in patients with associated skull base meningiomas is complex. OBJECTIVE: We evaluated the pain management needs and outcomes in patients with petroclival meningiomas associated with medically refractory trigeminal neuralgia. METHODS: During a 21-year period, 168 patients underwent stereotactic radiosurgery (SRS) for meningiomas involving the petroclival region. We identified 12 patients (10 females; median age 54 years) who had trigeminal neuralgia in association with an ipsilateral petroclival meningioma...
February 2011: Stereotactic and Functional Neurosurgery
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