Intrinsic Arteriovenous Malformation Embedded in the Trigeminal Nerve of a Patient With Trigeminal Neuralgia

Shinya SUMIOKA, Akinori KONDO, Hideki TANABE, Soichiro YASUDA
2011 Neurologia medico-chirurgica  
A 66-year-old man presented with typical right trigeminal neuralgia. Neuroimaging showed a small arteriovenous malformation (AVM) in the right cerebellopontine angle. Suboccipital craniotomy verified that the AVM was almost completely embedded in the root entry zone of the trigeminal nerve and the nerve axis was tilted infero-posteriorly. The patient obtained complete pain relief without sequelae after surgery by transposition of the superior cerebellar artery and correction of the tilted nerve
more » ... of the tilted nerve axis. The nidus of the unresected AVM was obliterated by gamma knife radiosurgery.
doi:10.2176/nmc.51.639 pmid:21946727 fatcat:ubqioasywnazpfszqqu3dxnjny