Trigeminal neuralgia associated with cerebellar pial arteriovenous fistula: A case report
Trigeminal neuralgia (TN) is frequently associated with compression at the root entry zone of the trigeminal nerve by an aberrant loop of an artery, tributaries of the petrosal vein, tumors, aneurysm, and vascular malformation. TN associated with a cerebellar pial arteriovenous fistula (PAVF) has no...
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| Veröffentlicht in: | Medicine (Baltimore) 2020-01, Vol.99 (3), p.e18873-e18873 |
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| creator | Wang, Shenghu Mo, Jun Gai, Shiying Ou, Changjiang Chen, Yili |
| description | Trigeminal neuralgia (TN) is frequently associated with compression at the root entry zone of the trigeminal nerve by an aberrant loop of an artery, tributaries of the petrosal vein, tumors, aneurysm, and vascular malformation. TN associated with a cerebellar pial arteriovenous fistula (PAVF) has not been described previously.
A 65-year-old man presented with right-sided TN. Cerebral angiography revealed a right cerebellar PAVF and magnetic resonance imaging demonstrated a mixed compression of the petrous vein complex and anterior inferior cerebellar artery at the right trigeminal nerve.
Due to the patient's symptoms, radiographic findings, he was diagnosed with TN and PAVF.
Coiling combined with use of the liquid embolic agent Onyx was used for the complete embolization of the fistula.
Complete relief of the pain was achieved 3 months after endovascular treatment, and the patient has remained pain-free during 2 years of follow-up.
Endovascular treatment with a combination of coils and Onyx embolization is an effective approach for complete resolution of rarely occurring TN caused by mixed venous and arterial compressions associated with cerebellar PAVF. |
| doi_str_mv | 10.1097/MD.0000000000018873 |
| format | Article |
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A 65-year-old man presented with right-sided TN. Cerebral angiography revealed a right cerebellar PAVF and magnetic resonance imaging demonstrated a mixed compression of the petrous vein complex and anterior inferior cerebellar artery at the right trigeminal nerve.
Due to the patient's symptoms, radiographic findings, he was diagnosed with TN and PAVF.
Coiling combined with use of the liquid embolic agent Onyx was used for the complete embolization of the fistula.
Complete relief of the pain was achieved 3 months after endovascular treatment, and the patient has remained pain-free during 2 years of follow-up.
Endovascular treatment with a combination of coils and Onyx embolization is an effective approach for complete resolution of rarely occurring TN caused by mixed venous and arterial compressions associated with cerebellar PAVF.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000018873</identifier><identifier>PMID: 32011512</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health</publisher><subject>Aged ; Cerebral Angiography ; Clinical Case Report ; Embolization, Therapeutic ; Humans ; Intracranial Arteriovenous Malformations - complications ; Intracranial Arteriovenous Malformations - diagnostic imaging ; Intracranial Arteriovenous Malformations - therapy ; Magnetic Resonance Imaging ; Male ; Pia Mater - diagnostic imaging ; Trigeminal Neuralgia - diagnostic imaging ; Trigeminal Neuralgia - etiology ; Trigeminal Neuralgia - therapy</subject><ispartof>Medicine (Baltimore), 2020-01, Vol.99 (3), p.e18873-e18873</ispartof><rights>Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c310t-f64490ed0ff36edeafa11bc9eaf569e59c7bd72d9e2be5bb64e94a3d9d1622f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220074/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220074/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27906,27907,53773,53775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32011512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shenghu</creatorcontrib><creatorcontrib>Mo, Jun</creatorcontrib><creatorcontrib>Gai, Shiying</creatorcontrib><creatorcontrib>Ou, Changjiang</creatorcontrib><creatorcontrib>Chen, Yili</creatorcontrib><title>Trigeminal neuralgia associated with cerebellar pial arteriovenous fistula: A case report</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Trigeminal neuralgia (TN) is frequently associated with compression at the root entry zone of the trigeminal nerve by an aberrant loop of an artery, tributaries of the petrosal vein, tumors, aneurysm, and vascular malformation. TN associated with a cerebellar pial arteriovenous fistula (PAVF) has not been described previously.
A 65-year-old man presented with right-sided TN. Cerebral angiography revealed a right cerebellar PAVF and magnetic resonance imaging demonstrated a mixed compression of the petrous vein complex and anterior inferior cerebellar artery at the right trigeminal nerve.
Due to the patient's symptoms, radiographic findings, he was diagnosed with TN and PAVF.
Coiling combined with use of the liquid embolic agent Onyx was used for the complete embolization of the fistula.
Complete relief of the pain was achieved 3 months after endovascular treatment, and the patient has remained pain-free during 2 years of follow-up.
Endovascular treatment with a combination of coils and Onyx embolization is an effective approach for complete resolution of rarely occurring TN caused by mixed venous and arterial compressions associated with cerebellar PAVF.</description><subject>Aged</subject><subject>Cerebral Angiography</subject><subject>Clinical Case Report</subject><subject>Embolization, Therapeutic</subject><subject>Humans</subject><subject>Intracranial Arteriovenous Malformations - complications</subject><subject>Intracranial Arteriovenous Malformations - diagnostic imaging</subject><subject>Intracranial Arteriovenous Malformations - therapy</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Pia Mater - diagnostic imaging</subject><subject>Trigeminal Neuralgia - diagnostic imaging</subject><subject>Trigeminal Neuralgia - etiology</subject><subject>Trigeminal Neuralgia - therapy</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUctOwzAQtBCIlsIXICEfuaT4lbjmgFS1vKRWXMqBk-U4m9Yoj2InRfw9qVqee9mVdmZ2R4PQOSVDSpS8mk-H5KfoaCT5AerTmCdRrBJxiPqEsDiSSooeOgnhtQNxycQx6nFGKI0p66OXhXdLKF1lClxB602xdAabEGrrTAMZfnfNClvwkEJRGI_XrkMa34B39Qaqug04d6FpC3ONx9iaANjDuvbNKTrKTRHgbN8H6PnudjF5iGZP94-T8SyynJImyhMhFIGM5DlPIAOTG0pTq7ohThTEyso0kyxTwFKI0zQRoIThmcpowlgu-ADd7HTXbVpCZqFqOhd67V1p_IeujdN_N5Vb6WW90ZIxQuRW4HIv4Ou3FkKjSxfs1m0FnT3NeEy4FETQDsp3UOvrEDzk32co0dtQ9Hyq_4fSsS5-f_jN-UqBfwL0FIrI</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Wang, Shenghu</creator><creator>Mo, Jun</creator><creator>Gai, Shiying</creator><creator>Ou, Changjiang</creator><creator>Chen, Yili</creator><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200101</creationdate><title>Trigeminal neuralgia associated with cerebellar pial arteriovenous fistula: A case report</title><author>Wang, Shenghu ; Mo, Jun ; Gai, Shiying ; Ou, Changjiang ; Chen, Yili</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-f64490ed0ff36edeafa11bc9eaf569e59c7bd72d9e2be5bb64e94a3d9d1622f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Cerebral Angiography</topic><topic>Clinical Case Report</topic><topic>Embolization, Therapeutic</topic><topic>Humans</topic><topic>Intracranial Arteriovenous Malformations - complications</topic><topic>Intracranial Arteriovenous Malformations - diagnostic imaging</topic><topic>Intracranial Arteriovenous Malformations - therapy</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Pia Mater - diagnostic imaging</topic><topic>Trigeminal Neuralgia - diagnostic imaging</topic><topic>Trigeminal Neuralgia - etiology</topic><topic>Trigeminal Neuralgia - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shenghu</creatorcontrib><creatorcontrib>Mo, Jun</creatorcontrib><creatorcontrib>Gai, Shiying</creatorcontrib><creatorcontrib>Ou, Changjiang</creatorcontrib><creatorcontrib>Chen, Yili</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shenghu</au><au>Mo, Jun</au><au>Gai, Shiying</au><au>Ou, Changjiang</au><au>Chen, Yili</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trigeminal neuralgia associated with cerebellar pial arteriovenous fistula: A case report</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>99</volume><issue>3</issue><spage>e18873</spage><epage>e18873</epage><pages>e18873-e18873</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Trigeminal neuralgia (TN) is frequently associated with compression at the root entry zone of the trigeminal nerve by an aberrant loop of an artery, tributaries of the petrosal vein, tumors, aneurysm, and vascular malformation. TN associated with a cerebellar pial arteriovenous fistula (PAVF) has not been described previously.
A 65-year-old man presented with right-sided TN. Cerebral angiography revealed a right cerebellar PAVF and magnetic resonance imaging demonstrated a mixed compression of the petrous vein complex and anterior inferior cerebellar artery at the right trigeminal nerve.
Due to the patient's symptoms, radiographic findings, he was diagnosed with TN and PAVF.
Coiling combined with use of the liquid embolic agent Onyx was used for the complete embolization of the fistula.
Complete relief of the pain was achieved 3 months after endovascular treatment, and the patient has remained pain-free during 2 years of follow-up.
Endovascular treatment with a combination of coils and Onyx embolization is an effective approach for complete resolution of rarely occurring TN caused by mixed venous and arterial compressions associated with cerebellar PAVF.</abstract><cop>United States</cop><pub>Wolters Kluwer Health</pub><pmid>32011512</pmid><doi>10.1097/MD.0000000000018873</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Aged Cerebral Angiography Clinical Case Report Embolization, Therapeutic Humans Intracranial Arteriovenous Malformations - complications Intracranial Arteriovenous Malformations - diagnostic imaging Intracranial Arteriovenous Malformations - therapy Magnetic Resonance Imaging Male Pia Mater - diagnostic imaging Trigeminal Neuralgia - diagnostic imaging Trigeminal Neuralgia - etiology Trigeminal Neuralgia - therapy |
| title | Trigeminal neuralgia associated with cerebellar pial arteriovenous fistula: A case report |
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