추체첨부에 생긴 지주막낭에 의해 유발된 희귀 삼차 신경통

• 영문명: Rare cause of trigeminal neuralgia associated with an arachnoid cyst in petrous apex: Case report
• 발행기관: 대한두개저학회
• 저자명: 권지연(Ji-Eyon Kwon) Nurani Rahma Arafah 조성우(Sung-Woo Cho) 황기환(Kihwan Hwang)
• 간행물 정보: 『대한두개저학회지』제15권 제2호, 141~146쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2020.10.30

영문 초록

Vascular compression is the most common cause of classic trigeminal neuralgia. However, other causes should be excluded. We describe a rare case of a patient presenting with typical trigeminal neuralgia associated with an arachnoid cyst in the petrous apex. A 22-year-old female patient with right trigeminal neuralgia for several years was treated with carbamazepine, which relieved the pain temporarily but was completely ineffective for the 3 months prior to presentation. Thin-slice computed tomography and magnetic resonance imaging showed a cephalocele in the petrous apex. Eventually, surgical aspiration of the cyst was performed using an endoscopic endonasal approach, which resulted in complete resolution of her pain. Petrous apex cephalocele should be considered in the differential diagnosis of trigeminal neuralgia, as it can be easily resolved by surgical aspiration.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

키워드

Trigeminal neuralgia Endoscopy endonasal surgery Arachnoid cysts Petrous apex Cephalocele