Successful Endovascular Treatment of Trigeminal Neuralgia Caused by a CarotidCavernous Fistula: Case Report

Dural arteriovenous fistulas (DAVFs) of the cavernous sinus are arteriovenous connections located in the dura mater leaflets of this region. The usual presentation of a DAVF is predominantly ocular, with symptoms such as diplopia, conjunctival injection, involvement of cranial nerves III/IV/VI, exophthalmos, and chemosis. Trigeminal neuralgia caused by a cavernous DAVF is extremely rare. To the best our knowledge, this is only the fourth report in the world literature. We describe the case of a patient treated by embolization in whom the only presenting symptom of DAVF was trigeminal neuralgia. After endovascular treatment, the patient became asymptomatic.

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Nasopharyngeal amyloidosis: an unusual cause for epistaxis

The Journal of Laryngology & Otology ◽

10.1017/s0022215109005593 ◽

2009 ◽

Vol 124 (2) ◽

pp. 209-212 ◽

Cited By ~ 3

Author(s):

M A Oluk ◽

J Murphy

Keyword(s):

Multiple Myeloma ◽

Growth Rate ◽

Case Report ◽

World Literature ◽

Clinical Course ◽

Radiological Imaging ◽

First Case ◽

Fourth Report ◽

Recurrent Epistaxis ◽

The World

AbstractObjective:We report the first case of nasal and nasopharyngeal amyloidosis secondary to multiple myeloma; this case also represents the fourth report of systemic nasal or nasopharyngeal amyloidosis.Method:Case report and review of the world literature concerning nasal and nasopharyngeal amyloidosis epidemiology, presentation and management.Results:Nasal and nasopharyngeal amyloidosis is rare. The presentation, clinical course and treatment are discussed for the presented patient. The amyloid tumour, which recurred in correlation with the progressive transformation of the multiple myeloma, was treated surgically. Subsequent localised radiotherapy decreased the size and growth rate of the tumour.Conclusion:Amyloid should be considered as a cause of resistant or recurrent epistaxis provided a mass lesion is seen on radiological imaging. Radiotherapy may be a treatment option in nasal and nasopharyngeal amyloidosis.

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Reversible thalamic dementia caused by venous hypertension of bilateral thalami resulting from multiple intracranial dural arteriovenous fistulas successfully obliterated by endovascular treatment using liquid embolic materials: A case report and literature review

Asian Journal of Neurosurgery ◽

10.4103/ajns.ajns_317_19 ◽

2020 ◽

Vol 15 (1) ◽

pp. 144

Author(s):

Prasert Iampreechakul ◽

Punjama Lertbutsayanukul ◽

Yodkwhan Wattanasen ◽

Thon Thiraworawong ◽

Surasak Komonchan ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Endovascular Treatment ◽

Venous Hypertension ◽

Arteriovenous Fistulas ◽

Liquid Embolic ◽

Dural Arteriovenous Fistulas ◽

Embolic Materials

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Successful Endovascular Treatment of Trigeminal Neuralgia Caused by a Carotid-Cavernous Fistula: Case Report

10.5327/1516-3180.062 ◽

2021 ◽

Author(s):

Luciano Bambini Manzato ◽

José Ricardo Vanzin ◽

Octávio Ruschel Karam ◽

Artur Eduardo Martio ◽

Victor Emanuel Angeliero ◽

...

Keyword(s):

Case Report ◽

Trigeminal Neuralgia ◽

Cavernous Sinus ◽

Cranial Nerves ◽

External Carotid Artery ◽

External Carotid ◽

Conjunctival Hyperemia ◽

Arteriovenous Fistulas ◽

Ocular Symptoms ◽

Patient Reported

Context: Dural arteriovenous fistulas (DAVFs) of the cavernous sinus are arteriovenous connections located in the dura mater leaflets of this region. DAVFs usually present with ocular symptoms such as diplopia, conjunctival hyperemia, involvement of cranial nerves III/IV/VI, etc. Trigeminal neuralgia caused by a cavernous DAVF is rare, being reported only three times in the literature. Case report: A 46-year-old female smoker sought care with a complaint of multiple daily episodes of shock-like right temporal headache and facial pain in the V1/V2 dermatomes, of 2 years’ duration. A clinical diagnosis of trigeminal neuralgia was established. Magnetic resonance (MR) imaging of the brain and MR angiography of the cerebral and cervical vessels were both normal. Conservative treatment and balloon compression of the trigeminal ganglion were ineffective. Therefore, we chose to perform an angiography for diagnostic clarification, which demonstrated a DAVF of the right cavernous sinus, fed by branches of the external carotid artery. We decided to catheterize the fistula and complete obliteration was achieved. Soon after the procedure the patient reported pain relief. At 3-month follow-up the patient remained pain free and required no analgesia. Conclusion: Trigeminal neuralgia caused by a cavernous DAVF is rare. The fistula in this case was only diagnosed after an angiography was performed, so clinicians must be aware that not all vascular conditions can be identified non invasively, and that cavernous DAVFs may be an underdiagnosed cause of trigeminal neuralgia.

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Endovascular Treatment for Tentorial Dural Arteriovenous Fistulas

Surgery for Cerebral Stroke ◽

10.2335/scs.38.235 ◽

2010 ◽

Vol 38 (4) ◽

pp. 235-242 ◽

Cited By ~ 1

Author(s):

Naoko MIYAMOTO ◽

Isao NAITO ◽

Shin TAKATAMA ◽

Tomoyuki IWAI ◽

Masahiro MATSUMOTO ◽

...

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistulas ◽

Dural Arteriovenous Fistulas

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De novo multiple dural arteriovenous fistulas and arteriovenous malformation after embolization of cerebral arteriovenous fistula: case report

Child s Nervous System ◽

10.1007/s00381-012-1878-6 ◽

2012 ◽

Vol 28 (11) ◽

pp. 1981-1983 ◽

Cited By ~ 13

Author(s):

Yahui Bai ◽

Chuan He ◽

Hongqi Zhang ◽

Feng Ling

Keyword(s):

Case Report ◽

Arteriovenous Malformation ◽

Arteriovenous Fistula ◽

De Novo ◽

Arteriovenous Fistulas ◽

Dural Arteriovenous Fistulas ◽

Cerebral Arteriovenous Fistula

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Percutaneous transvenous embolization of a dural arteriovenous fistula through a mastoid emissary vein

Journal of Neurosurgery ◽

10.3171/jns.2006.105.4.636 ◽

2006 ◽

Vol 105 (4) ◽

pp. 636-639 ◽

Cited By ~ 20

Author(s):

Dennis J. Rivet ◽

James K. Goddard ◽

Keith M. Rich ◽

Colin P. Derdeyn

Keyword(s):

Endovascular Treatment ◽

Transverse Sinus ◽

Dural Sinus ◽

Type Ii ◽

Emissary Vein ◽

Arteriovenous Fistulas ◽

Mastoid Emissary Vein ◽

Vein Access ◽

Dural Arteriovenous Fistulas ◽

Gain Access

✓ Definitive endovascular treatment of dural arteriovenous fistulas (DAVFs) requires obliteration of the site of the fistula: either the diseased dural sinus or the pial vein. Access to this site is often limited by occlusion of the sinus proximal and distal to the segment containing the fistula. The authors describe a technique in which the mastoid emissary vein is used to gain access to a Borden–Shucart Type II DAVF in the transverse–sigmoid sinus. Recognition of this route of access, if present, may facilitate endovascular treatment of these lesions. Access to the transverse sinus via this approach can be straightforward and may be underused.

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Metronidazole ototoxicity - report of two cases

The Journal of Laryngology & Otology ◽

10.1017/s0022215100143968 ◽

1999 ◽

Vol 113 (4) ◽

pp. 355-357 ◽

Cited By ~ 11

Author(s):

S. M. Iqbal ◽

J. G. Murthy ◽

P. K. Banerjee ◽

K. A. Vishwanathan

Keyword(s):

Hearing Loss ◽

Case Report ◽

Oral Administration ◽

Sensorineural Hearing Loss ◽

Steroid Therapy ◽

World Literature ◽

Sensorineural Hearing ◽

Oral Steroid ◽

The World ◽

Oral Steroid Therapy

AbstractTwo cases of bilateral moderate to severe sensorineural hearing loss due to oral administration of metronidazole are reported. There has been only one case report of deafness following metronidazole therapy in the world literature. The hearing loss recovered gradually in a period of four to six weeks following withdrawal of drug and oral steroid therapy. The possible mechanism of ototoxicity is discussed. Awareness by the treating physician of ototoxicity due to any drug is stressed.

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