PMID: 8607089Apr 1, 1996Paper

Dural arteriovenous malformation manifesting as tic douloureux

Surgical Neurology
M ItoK Sato

Abstract

Although cerebral arteriovenous malformation (AVM) is an established cause of trigeminal neuralgia, dural AVM has rarely been reported to cause tic douloureux. Treatment of dural AVM in the tentorial and torcular regions by transarterial embolization is rarely curative. It has recently been proposed that many cranial dural AVMs with leptomeningeal venous drainage require only interruption of the draining vein as it enters the subarachnoid space for successful, lasting elimination. We present a case of 65-year-old man with typical trigeminal neuralgia caused by a dural AVM. Carotid angiography revealed a dural AVM in the petrotentorial region with enlarged and serpiginous draining veins, which compressed the trigeminal nerve. Facial pain had been completely relieved for 2 months after successful transarterial embolization, but the symptom recurred. The patient subsequently underwent surgical interruption of the draining veins just beneath the cerebellar tentorium. The dural AVM disappeared, and the trigeminal neuralgia was completely relieved. The literature concerning the etiology of tic douloureux is reviewed and the selection of treatment modality of this case is discussed. The striking clinical and radiologic improvement in ...Continue Reading

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Citations

Jan 7, 2011·Clinical Oral Investigations·Sathesh BalasundramColin Liew
Oct 13, 2001·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·B T GohR H Peck
Mar 17, 2004·Neurologia Medico-chirurgica·Boris KrischekHelmut Bertalanffy
Apr 15, 2003·Journal of Neurosurgery·Cormac O MaherJohn I Lane
Nov 16, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael R LevittBasavaraj V Ghodke
Nov 28, 2014·Journal of Neurointerventional Surgery·Chuanhui LiXinjian Yang
Aug 7, 2007·Acta neurochirurgica·R RahmeE Samaha
Oct 30, 2007·Acta neurochirurgica·C de Paula Lucas, J M Zabramski
May 15, 2010·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·H WangK Xu
Sep 27, 2019·Experimental and Therapeutic Medicine·Jianmin PiaoJinlu Yu

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