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Case of microarteriovenous malformation-induced trigeminal neuralgia treated with radiosurgery

The Journal of Headache and Pain volume 7, pages 217–221 (2006)Cite this article

Abstract

Radiosurgery to the right fifth cranial nerve was performed with the Gamma Knife on a 39- year-old patient who presented with classic symptoms of trigeminal neuralgia (TN), but was found on imaging studies to harbour a small intrinsic vascular malformation within the nerve. Based on size and drainage, the arteriovenous malformation (AVM) was Spetzler-Martin Grade III and no previous history of bleeding was reported. The patient had failed a trial of carbamazepine, and no surgical procedures had been performed. A decrease in symptoms was reported by the 6-month follow- up. A review of the literature on microAVM-induced TN is provided as well as a discussion of management.

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Authors and Affiliations

  1. The Johns Hopkins University, School of Medicine, Department of Neurosurgery, Meyer Building 8-161, 600 North Wolfe Street, Baltimore, MD, 21287, USA

    W. S. Anderson

  2. The Johns Hopkins University, School of Medicine, Department of Neurosurgery, Phipps Building, Room 101, 600 N. Wolfe Street, Baltimore, MD, 21287, USA

    P. P. Wang

  3. The Johns Hopkins University, School of Medicine, Department of Neurosurgery, Phipps Building, Room 104, 600 N. Wolfe Street, Baltimore, MD, 21287, USA

    D. Rigamonti

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  1. W. S. Anderson
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  2. P. P. Wang
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  3. D. Rigamonti
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Correspondence to D. Rigamonti.

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Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License ( https://creativecommons.org/licenses/by-nc/2.0 ), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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Anderson, W.S., Wang, P.P. & Rigamonti, D. Case of microarteriovenous malformation-induced trigeminal neuralgia treated with radiosurgery. J Headache Pain 7, 217–221 (2006). https://doi.org/10.1007/s10194-006-0306-2

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  • DOI: https://doi.org/10.1007/s10194-006-0306-2

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The Journal of Headache and Pain

ISSN: 1129-2377

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