Chiari I malformation manifesting as bilateral trigeminal neuralgia: case report and review of the literature

@article{Than2010ChiariIM,
  title={Chiari I malformation manifesting as bilateral trigeminal neuralgia: case report and review of the literature},
  author={Khoi D. Than and Milad Sharifpour and Anthony C. Wang and Byron Gregory Thompson and Aditya S. Pandey},
  journal={Journal of Neurology, Neurosurgery \& Psychiatry},
  year={2010},
  volume={82},
  pages={1058 - 1059}
}
Trigeminal neuralgia (TN) is characterised by recurrent episodes of sudden, intense, usually unilateral, lancinating pain confined to the distribution of one or more branches of the trigeminal nerve. It is most commonly associated with compression of the trigeminal nerve root by an artery or vein, which is thought to lead to irritability of the nerve root due to demyelination and remyelination at the root entry zone. However, some cases are associated with central lesions such as multiple… 
Management of Uncommon Secondary Trigeminal neuralgia related to a rare Arnold Chiari type I malformation
TLDR
Dental surgeons and oral and Maxillofacial Surgeons should exclude intra-cranial causes by Magnetic Resonance Imaging(MRI) in patients of TN presenting with loss of corneal reflex, gait and sleep disturbances due to night time pain episodes.
Trigeminal neuralgia associated with Chiari 1 malformation: symptom resolution following craniocervical decompression and duroplasty: Case report and review of the literature
Background: Trigeminal neuralgia (TN) may rarely be the presenting or only symptom of Chiari 1 malformation (CM). Isolated case reports have described resolution of TN following craniocervical
Clinical diagnosis—part II: what is attributed to Chiari I
TLDR
This review focuses on those unusual clinical pictures attributed to Chiari malformation type I (CMI), investigating their actual relationship with the morphological condition and their actual occurrence in relation with the malformation.
Facial pain, caused by Torkildsen shunt migration
TLDR
This clinical case demonstrated successful treatment of facial pain developed due to a rare cause – migration of a Torkildsen shunt that currently is rarely encountered.
Microvascular decompression in patients with coexistent trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia
TLDR
The combination of HFS-TN-GPN is extremely rare and is often associated with a looped VBA and a smaller posterior fossa, however, MVD is still a good choice for treatment.
Isolated unilateral trismus as a presentation of Chiari malformation: case report.
TLDR
A 3-year-old boy presented with inability to open his jaw for 6 weeks with associated significant weight loss and underwent Chiari decompression surgery, resulting in the first reported case of isolated trismus from Chiari malformation with syringobulbia.
Occipitocondylar hyperplasia and syringomyelia presenting with facial pain.
TLDR
A 10-year-old girl presented with right-sided facial pain and subjective dysesthesia of the chest wall without evidence of cervical myelopathy and was found to have extensive cervicothoracic syringomyelia secondary to compression at the foramen magnum by hypertrophic occipital condyles.
Sex-dependent posterior fossa anatomical differences in trigeminal neuralgia patients with and without neurovascular compression: a volumetric MRI age- and sex-matched case-control study.
TLDR
The hypothesis that TN patients without NVC differ from TN patient with NVC with respect to brain anatomy and demographic characteristics is evaluated and it is suggested that smaller posterior fossa volume might be an independent factor in the pathophysiology of TN.
Neuralgia del trigémino asociada a malformación de Chiari tipo I:: resolución tras descompresión suboccipital
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Como citar este articulo: Gomez-Camello A, Pelegrina-Molina J. Neuralgia del trigemino asociada a malformacion de Chiari tipo I: resolucion tras descompresion suboccipital.

References

SHOWING 1-6 OF 6 REFERENCES
Arnold Chiari Type I malformation presenting as a trigeminal neuralgia: case report.
TLDR
The compression of the nucleus could explain both the pain and the regression after surgery in the second reported case of pure trigeminal neuralgia in Arnold Chiari malformation.
Resolution of trigeminal neuralgia following third ventriculostomy for hydrocephalus associated with Chiari I malformation: case report.
TLDR
This is the first case in which trigeminal neuralgia was treated with a third ventriculostomy and one of only four cases of isolated trigeminals associated with a Chiari malformation.
Trigeminal Neuralgia as the Sole Manifestation of an Arnold‐Chiari Type I Malformation: Case Report
TLDR
The case of an adult patient who presented with symptomatic trigeminal neuralgia caused by an Arnold‐Chiari type I malformation is described, unlike previous cases, the malformation involved the trigEMinal ophthalmic division alone.
[Trigeminal neuralgia as the first manifestation in Arnold-Chiari deformity].
TLDR
The need for magnetic resonance imaging in trigeminal neuralgia is emphasized, as this is a noninvasive study which may provide valuable etiological information and prevent the progression of the disease.
Chiari Type I malformation presenting as a trigeminal neuralgia: case report
  • Neurosurgery
  • 1999