Trigeminal neuralgia secondary to arteriovenous malformation in the brainstem: a case report and a brief review
DOI:
https://doi.org/10.48208/HeadacheMed.2021.56Keywords:
Arteriovenous malformation, trigeminal neuralgia, brainstem, neurosurgery, vascular malformationAbstract
Trigeminal neuralgia, a condition characterized by high intensity, paroxysmal and unilateral pain, can be characterized as secondary when associated with conditions such as multiple sclerosis and tumors. However, among these secondary cases, there are also arteriovenous malformations, characterized by a nidus mass of vessels separated by parts of sclerotic tissues, responsible for a small portion of the neuralgias of the trigeminal nerve. The case report described is of a 54-year-old male patient who has a brainstem AVM and refers to lancing and paroxysmal pain in the right hemiface in the territories of V2 and V3 after feeding and brushing the teeth. The treatment of this patient was done from the insertion of a balloon from the foramen ovale, accessed by the Meckel fossa and the trigeminal ganglion. The literature review demonstrated, from the analysis of gender, age, vascularization, localization and treatments of reports of TGN secondary to brainstem AVM, the reduced number of cases described.
Downloads
References
Gambeta E, Chichorro JG and Zamponi GW. Trigeminal neuralgia: An overview from pathophysiology to pharmacological treatments. Mol Pain 2020;16:1744806920901890 Doi:10.1177/1744806920901890 DOI: https://doi.org/10.1177/1744806920901890
Cruccu G, Finnerup NB, Jensen TS, Scholz J, Sindou M, Svensson P, . . . Nurmikko T. Trigeminal neuralgia: New classification and diagnostic grading for practice and research. Neurology 2016;87(2):220-228 Doi:10.1212/wnl.0000000000002840 DOI: https://doi.org/10.1212/WNL.0000000000002840
Maarbjerg S, Di Stefano G, Bendtsen L and Cruccu G. Trigeminal neuralgia - diagnosis and treatment. Cephalalgia 2017;37(7):648-657 Doi:10.1177/0333102416687280 DOI: https://doi.org/10.1177/0333102416687280
Machet A, Aggour M, Estrade L, Chays A and Pierot L. Trigeminal neuralgia related to arteriovenous malformation of the posterior fossa: three case reports and a review of the literature. J Neuroradiol 2012;39(1):64-69 Doi:10.1016/j.neurad.2011.08.001 DOI: https://doi.org/10.1016/j.neurad.2011.08.001
Choudhri O, Heit JJ, Feroze AH, Chang SD, Dodd RL and Steinberg GK. Persistent trigeminal artery supply to an intrinsic trigeminal nerve arteriovenous malformation: a rare cause of trigeminal neuralgia. J Clin Neurosci 2015;22(2):409-412 Doi:10.1016/j.jocn.2014.06.007 DOI: https://doi.org/10.1016/j.jocn.2014.06.007
Das KK, Gosal JS, Ashish K, Gandhi A, Jaiswal AK and Behari S. Trigeminal Neuralgia from an Arteriovenous Malformation of the Trigeminal Root Entry Zone with a Flow-Related Feeding Artery Aneurysm: The Role of a Combined Endovascular and "Tailored" Surgical Treatment. Neurol India 2021;69(3):744-747 Doi:10.4103/0028-3886.319235 DOI: https://doi.org/10.4103/0028-3886.319235
Sumioka S, Kondo A, Tanabe H and Yasuda S. Intrinsic arteriovenous malformation embedded in the trigeminal nerve of a patient with trigeminal neuralgia. Neurol Med Chir (Tokyo) 2011;51(9):639-641 Doi:10.2176/nmc.51.639 DOI: https://doi.org/10.2176/nmc.51.639
Yip V, Michael BD, Nahser HC and Smith D. Arteriovenous malformation: a rare cause of trigeminal neuralgia identified by magnetic resonance imaging with constructive interference in steady state sequences. Qjm 2012;105(9):895-898 Doi:10.1093/qjmed/hcr141 DOI: https://doi.org/10.1093/qjmed/hcr141
Rahme R, Ali Y, Slaba S and Samaha E. Dural arteriovenous malformation: an unusual cause of trigeminal neuralgia. Acta Neurochir (Wien) 2007;149(9):937-941; discussion 941 Doi:10.1007/s00701-007-1251-9 DOI: https://doi.org/10.1007/s00701-007-1251-9
Simon SD, Yao TL, Rosenbaum BP, Reig A and Mericle RA. Resolution of trigeminal neuralgia after palliative embolization of a cerebellopontine angle arteriovenous malformation. Cent Eur Neurosurg 2009;70(3):161-163 Doi:10.1055/s-0029-1215567 DOI: https://doi.org/10.1055/s-0029-1215567
Ferroli P, Acerbi F, Broggi M and Broggi G. Arteriovenous micromalformation of the trigeminal root: intraoperative diagnosis with indocyanine green videoangiography: case report. Neurosurgery 2010;67(3 Suppl Operative):onsE309-310; discussion onsE310 Doi:10.1227/01.Neu.0000381769.15291.4c DOI: https://doi.org/10.1227/01.NEU.0000381769.15291.4C
Anderson WS, Wang PP and Rigamonti D. Case of microarteriovenous malformation-induced trigeminal neuralgia treated with radiosurgery. J Headache Pain 2006;7(4):217-221 Doi:10.1007/s10194-006-0306-2 DOI: https://doi.org/10.1007/s10194-006-0306-2
Wanke I, Dietrich U, Oppel F and Puchner MJ. Endovascular treatment of trigeminal neuralgia caused by arteriovenous malformation: is surgery really necessary? Zentralbl Neurochir 2005;66(4):213-216 Doi:10.1055/s-2005-836601 DOI: https://doi.org/10.1055/s-2005-836601
García-Pastor C, López-González F, Revuelta R and Nathal E. Trigeminal neuralgia secondary to arteriovenous malformations of the posterior fossa. Surg Neurol 2006;66(2):207-211; discussion 211 Doi:10.1016/j.surneu.2006.01.027 DOI: https://doi.org/10.1016/j.surneu.2006.01.027
Karibe H, Shirane R, Jokura H and Yoshimoto T. Intrinsic arteriovenous malformation of the trigeminal nerve in a patient with trigeminal neuralgia: case report. Neurosurgery 2004;55(6):1433 DOI: https://doi.org/10.1227/01.NEU.0000143147.57383.AA
Edwards RJ, Clarke Y, Renowden SA and Coakham HB. Trigeminal neuralgia caused by microarteriovenous malformations of the trigeminal nerve root entry zone: symptomatic relief following complete excision of the lesion with nerve root preservation. J Neurosurg 2002;97(4):874-880 Doi:10.3171/jns.2002.97.4.0874 DOI: https://doi.org/10.3171/jns.2002.97.4.0874
Son BC, Kim DR, Sung JH and Lee SW. Painful tic convulsif caused by an arteriovenous malformation. Clin Neuroradiol 2012;22(4):365-369 Doi:10.1007/s00062-012-0167-9 DOI: https://doi.org/10.1007/s00062-012-0167-9
Lesley WS. Resolution of trigeminal neuralgia following cerebellar AVM embolization with Onyx. Cephalalgia 2009;29(9):980-985 Doi:10.1111/j.1468-2982.2008.01828.x DOI: https://doi.org/10.1111/j.1468-2982.2008.01828.x
Lawton MT, Rutledge WC, Kim H, Stapf C, Whitehead KJ, Li DY, . . . Spetzler RF. Brain arteriovenous malformations. Nat Rev Dis Primers 2015;1:15008 Doi:10.1038/nrdp.2015.8 DOI: https://doi.org/10.1038/nrdp.2015.8
Lawton MT, Jacobowitz R and Spetzler RF. Redefined role of angiogenesis in the pathogenesis of dural arteriovenous malformations. J Neurosurg 1997;87(2):267-274 Doi:10.3171/jns.1997.87.2.0267 DOI: https://doi.org/10.3171/jns.1997.87.2.0267
Batjer H and Samson D. Arteriovenous malformations of the posterior fossa: clinical presentation, diagnostic evaluation and surgical treatment. Neurosurg Rev 1986;9(4):287-296 Doi:10.1007/bf01743635 DOI: https://doi.org/10.1007/BF01743635
Silber MH, Sandok BA and Earnest Ft. Vascular malformations of the posterior fossa. Clinical and radiologic features. Arch Neurol 1987;44(9):965-969 Doi:10.1001/archneur.1987.00520210059020 DOI: https://doi.org/10.1001/archneur.1987.00520210059020
Dujovny M, Osgood CP, Faille R, Bennett MH and Kerber C. Posterior fossa AVM producing hemifacial spasm: a case report. Angiology 1979;30(6):425-432 Doi:10.1177/000331977903000606 DOI: https://doi.org/10.1177/000331977903000606
Jannetta PJ. Neurovascular compression in cranial nerve and systemic disease. Ann Surg 1980;192(4):518-525 Doi:10.1097/00000658-198010000-00010 DOI: https://doi.org/10.1097/00000658-198010000-00010
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Luiz Severo Bem Junior, Joaquim Fechine de Alencar Neto, Júlio Augusto Lustosa Nogueira, Nivaldo Sena Almeida , Hildo Rocha Cirne de Azevedo Filho
This work is licensed under a Creative Commons Attribution 4.0 International License.
