Background: The most common etiology of classic trigeminal neuralgia (TN) is vascular compression. However, other causes must be considered. Among these, spontaneous hematoma of the Meckel′s cave (MC) causing symptomatic TN is very rare. Case Description: We present the case of a 60-year-old woman with a 2-month history of left TN and diplopia. Neuroradiological examinations revealed a well-defined hematoma in the left MC. The patient underwent surgical decompression with a progressive neurological improvement. Conclusion: Despite the number of lesions potentially affecting the MC, spontaneous hemorrhage is rare but should be taken into account in the differential diagnosis.

Alafaci, C., Grasso, G., Granata, F., Marino, D., Salpietro, F., & Tomasello, F. (2015). Spontaneous Meckel′s cave hematoma: A rare cause of trigeminal neuralgia. SURGICAL NEUROLOGY INTERNATIONAL, 6(Suppl 18), S445-S447 [10.4103/2152-7806.166776].

Spontaneous Meckel′s cave hematoma: A rare cause of trigeminal neuralgia

GRASSO, Giovanni;GRANATA, Francesca;TOMASELLO, Francesco
2015

Abstract

Background: The most common etiology of classic trigeminal neuralgia (TN) is vascular compression. However, other causes must be considered. Among these, spontaneous hematoma of the Meckel′s cave (MC) causing symptomatic TN is very rare. Case Description: We present the case of a 60-year-old woman with a 2-month history of left TN and diplopia. Neuroradiological examinations revealed a well-defined hematoma in the left MC. The patient underwent surgical decompression with a progressive neurological improvement. Conclusion: Despite the number of lesions potentially affecting the MC, spontaneous hemorrhage is rare but should be taken into account in the differential diagnosis.
http://www.surgicalneurologyint.com
Alafaci, C., Grasso, G., Granata, F., Marino, D., Salpietro, F., & Tomasello, F. (2015). Spontaneous Meckel′s cave hematoma: A rare cause of trigeminal neuralgia. SURGICAL NEUROLOGY INTERNATIONAL, 6(Suppl 18), S445-S447 [10.4103/2152-7806.166776].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/192244
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