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Tumors of the Central Nervous System, Volume 13 pp 83–89Cite as

Trigeminal Nerualgia with Cerebellopontine Angle Tumors

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Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 13))

Abstract

Trigeminal neuralgia (TN) is a debilitating facial pain disorder with an incidence of 4.3 per 100,000 patients (Katusic et al. 1990). It is characterized by the sudden onset of lancinating, “electric shock-like” pain in the unilateral distribution of the trigeminal nerve, usually lasting for a matter of seconds, followed by complete resolution of pain. These paroxysms occur infrequently at first, instigated by activities such as chewing, talking, and the stimulation of so-called “trigger points” on the face by light touch, breezes, or cold temperatures. Recently, trigeminal neuralgia has been further classified based upon the presentation and nature of the pain: type I TN, for which pains are paroxysmal and stabbing, is the classic form of the disease previously referred to as “tic doloureux” or typical TN; type IIa TN is described by constant pain more than 50 % of the time, in addition to paroxysms; type IIb is described by constant pains in the trigeminal distribution with no paroxysms (Eller et al. 2005).

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References

  • Barker FG 2nd, Jannetta PJ, Babu RP, Pomonis S, Bissonette DJ, Jho HD (1996a) Long-term outcome after operation for trigeminal neuralgia in patients with posterior fossa tumors. J Neurosurg 84:818–825

    Article  PubMed  Google Scholar 

  • Barker FG 2nd, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD (1996b) The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 334:1077–1083

    Article  PubMed  Google Scholar 

  • Bullitt E, Tew JM, Boyd J (1986) Intracranial tumors in patients with facial pain. J Neurosurg 64:865–871

    Article  CAS  PubMed  Google Scholar 

  • Celik SE, Kocaeli H, Cordan T, Bekar A (2000) Trigeminal neuralgia due to cerebellopontine angle lipoma. Case illustration. J Neurosurg 92:889

    Article  CAS  PubMed  Google Scholar 

  • Chang JW, Kim SH, Huh R, Park YG, Chung SS (1999) The effects of stereotactic radiosurgery on secondary facial pain. Stereotact Funct Neurosurg 72(Suppl 1):29–37

    Article  PubMed  Google Scholar 

  • Chang JW, Chang JH, Park YG, Chung SS (2000) Gamma knife radiosurgery for idiopathic and secondary trigeminal neuralgia. J Neurosurg 93(Suppl 3):147–151

    PubMed  Google Scholar 

  • Cheng TM, Cascino TL, Onofrio BM (1993) Comprehensive study of diagnosis and treatment of trigeminal neuralgia secondary to tumors. Neurology 43:2298–2302

    Article  CAS  PubMed  Google Scholar 

  • Dandy WE (1934) Concerning the cause of trigeminal neuralgia. Am J Surg 24:9

    Google Scholar 

  • Eller JL, Raslan AM, Burchiel KJ (2005) Trigeminal neuralgia: definition and classification. Neurosurg Focus 18:E3

    PubMed  Google Scholar 

  • Granick MS, Martuza RL, Parker SW, Ojemann RG, Montgomery WW (1985) Cerebellopontine angle meningiomas: clinical manifestations and diagnosis. Ann Otol Rhinol Laryngol 94:34–38

    CAS  PubMed  Google Scholar 

  • Hamby WB (1943) Trigeminal neuralgia due to radicular lesions. Arch Surg 46:9

    Article  Google Scholar 

  • Hamby WB (1946) Trigeminal neuralgia due to contralateral tumors of the posterior cranial fossa; report of 2 cases. J Neurosurg 4:4

    Google Scholar 

  • Huang CF, Tu HT, Liu WS, Lin LY (2008) Gamma Knife surgery for trigeminal pain caused by benign brain tumors. J Neurosurg 109(Suppl):154–159

    PubMed  Google Scholar 

  • Kato T, Sawamura Y, Abe H (1995) Trigeminal neuralgia caused by a cerebellopontine-angle lipoma: case report. Surg Neurol 44:33–35

    Article  CAS  PubMed  Google Scholar 

  • Katusic S, Beard CM, Bergstralh E, Kurland LT (1990) Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945–1984. Ann Neurol 27:89–95

    Article  CAS  PubMed  Google Scholar 

  • Leandri M, Parodi CI, Favale E (1988) Early trigeminal evoked potentials in tumours of the base of the skull and trigeminal neuralgia. Electroencephalogr Clin Neurophysiol 71:114–124

    Article  CAS  PubMed  Google Scholar 

  • Love JG, Woltman HW (1942) Trigeminal neuralgia and tumors of the gasserian ganglion. Proc Staff Meet Mayo Clin 17:7

    Google Scholar 

  • Meng L, Yuguang L, Feng L, Wandong S, Shugan Z, Chengyuan W (2005) Cerebellopontine angle epidermoids presenting with trigeminal neuralgia. J Clin Neurosci 12:784–786

    Article  PubMed  Google Scholar 

  • Metzer WS (1991) Trigeminal neuralgia secondary to tumor with normal exam, responsive to carbamazepine. Headache 31:164–166

    Article  CAS  PubMed  Google Scholar 

  • Miller JP, Acar F, Burchiel KJ (2008) Trigeminal neuralgia and vascular compression in patients with trigeminal schwannomas: case report. Neurosurgery 62:E974–E975; discussion E975

    Article  PubMed  Google Scholar 

  • Moller AR (1991) The cranial nerve vascular compression syndrome: II. A review of pathophysiology. Acta Neurochir (Wien) 113:24–30

    Article  CAS  Google Scholar 

  • Nomura T, Ikezaki K, Matsushima T, Fukui M (1994) Trigeminal neuralgia: differentiation between intracranial mass lesions and ordinary vascular compression as causative lesions. Neurosurg Rev 17:51–57

    Article  CAS  PubMed  Google Scholar 

  • Ogasawara H, Oki S, Kohno H, Hibino S, Ito Y (1995) Tentorial meningioma and painful tic convulsif. Case report. J Neurosurg 82:895–897

    Article  CAS  PubMed  Google Scholar 

  • Oppenheim H (1905) Lehrbuch der Nervenkrankheiten. S Karger, Berlin

    Google Scholar 

  • Parker HL (1937) Paroxysmal trigeminal pain with tumours of the nervus acusticus. J Neurol Psychopathol s1-17:6

    Google Scholar 

  • Pollock BE, Driscoll CL, Foote RL, Link MJ, Gorman DA, Bauch CD, Mandrekar JN, Krecke KN, Johnson CH (2006) Patient outcomes after vestibular schwannoma management: a prospective comparison of microsurgical resection and stereotactic radiosurgery. Neurosurgery 59:77–85; discussion 77–85

    Article  PubMed  Google Scholar 

  • Puca A, Meglio M, Vari R, Tamburrini G, Tancredi A (1995) Evaluation of fifth nerve dysfunction in 136 patients with middle and posterior cranial fossae tumors. Eur Neurol 35:33–37

    Article  CAS  PubMed  Google Scholar 

  • Rappaport ZH (1985) Epidermoid tumour of the cerebellopontine angle as a cause of trigeminal neuralgia. Neurochirurgia (Stuttg) 28:211–212

    CAS  Google Scholar 

  • Rappaport ZH, Devor M (1994) Trigeminal neuralgia: the role of self-sustaining discharge in the trigeminal ganglion. Pain 56:127–138

    Article  CAS  PubMed  Google Scholar 

  • Regis J, Metellus P, Dufour H, Roche PH, Muracciole X, Pellet W, Grisoli F, Peragut JC (2001) Long-term outcome after gamma knife surgery for secondary trigeminal neuralgia. J Neurosurg 95:199–205

    Article  CAS  PubMed  Google Scholar 

  • Revilla AG (1947a) Neurinomas of the cerebellopontine recess: a clinical study of one hundred and sixty cases including operative mortality and end results. Bull Johns Hopkins Hosp 80:43

    Google Scholar 

  • Revilla AG (1947b) Tic douloureux and its relationship to tumors of the posterior fossa; analysis of twenty-four cases. J Neurosurg 4:7

    Article  Google Scholar 

  • Tancioni F, Gaetani P, Villani L, Zappoli F, Rodriguez Y, Baena R (1995) Neurinoma of the trigeminal root and atypical trigeminal neuralgia: case report and review of the literature. Surg Neurol 44:36–42

    Article  CAS  PubMed  Google Scholar 

  • Weisenburg TH (1910) Cerebellopontine tumor diagnosed for six years as tic douloureux: the symptoms of irritation of the 9th and 12th cranial nerves. JAMA 54:5

    Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Center for Cranial Nerve Disorders, Allegheny General Hospital, 420 East North Avenue, Suite 302, Pittsburgh, PA, 15212, USA

    Joseph Hobbs & Raymond F. Sekula Jr.

  2. Department of Neurosurgery, University of Illinois at Chicago, 912 S. Wood Street (MC-799), Chicago, IL, 60612, USA

    Gregory D. Arnone

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  1. Joseph Hobbs
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  2. Gregory D. Arnone
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  3. Raymond F. Sekula Jr.
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Correspondence to Gregory D. Arnone .

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Editors and Affiliations

  1. Department of Biological Sciences, Kean University, Room 213, Library Building, Union, New Jersey, USA

    M.A. Hayat

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Hobbs, J., Arnone, G.D., Sekula, R.F. (2014). Trigeminal Nerualgia with Cerebellopontine Angle Tumors. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 13. Tumors of the Central Nervous System, vol 13. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7602-9_10

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  • DOI: https://doi.org/10.1007/978-94-007-7602-9_10

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7601-2

  • Online ISBN: 978-94-007-7602-9

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