TITLE

Trigeminal Neuralgia Due to an Acoustic Neuroma in the Cerebellopontine Angle

AUTHOR(S)
Matsuka, Yoshizo; Fort, Edward T.; Merrill, Robert L.
PUB. DATE
April 2000
SOURCE
Journal of Orofacial Pain;Spring2000, Vol. 14 Issue 2, p147
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This case report first reviews the intracranial tumors associated with symptoms of trigeminal neuralgia (TN). Among patients with TN-like symptoms, 6 to 16% are variously reported to have intracranial tumors. The most common cerebellopontine angle (CPA) tumor to cause TN-like symptoms is a benign tumor called an acoustic neuroma. The reported clinical symptoms of the acoustic neuroma are hearing deficits (60 to 97%), tinnitus (50 to 66%), vestibular disturbances (46 to 59%), numbness or tingling in the face (33%), headache (19 to 29%), dizziness (23%), facial paresis (17%), and trigeminal nerve disturbances (hypesthesia, paresthesia, and neuralgia) (12 to 45%), Magnetic resonance imaging with gadolinium enhancement or computed tomography with contrast media are each reported to have excellent abilities to detect intracranial tumors (92 to 93%). This article then reports a rare case of a young female patient who was mistakenly diagnosed and treated for a tern poromandibular disorder hut was subsequently found to have an acoustic neuroma located in the CPA.
ACCESSION #
37270423

 

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