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Schroeder HK, Neville IS, de Andrade DC, et al. Microvascular decompression of the posterior inferior cerebellar artery for intermediate nerve neuralgia. Surg Neurol Int. 2015;6:52doi: 10.4103/2152-7806.154452.
Schroeder, H. K., Neville, I. S., de Andrade, D. C., Lepski, G. A., Teixeira, M. J., & Duarte, K. P. (2015). Microvascular decompression of the posterior inferior cerebellar artery for intermediate nerve neuralgia. Surgical neurology international, 652. https://doi.org/10.4103/2152-7806.154452
Schroeder, Humberto Kluge, et al. "Microvascular decompression of the posterior inferior cerebellar artery for intermediate nerve neuralgia." Surgical neurology international vol. 6 (2015): 52. doi: https://doi.org/10.4103/2152-7806.154452
Schroeder HK, Neville IS, de Andrade DC, Lepski GA, Teixeira MJ, Duarte KP. Microvascular decompression of the posterior inferior cerebellar artery for intermediate nerve neuralgia. Surg Neurol Int. 2015 Apr 01;6:52. doi: 10.4103/2152-7806.154452. eCollection 2015. PMID: 25883844; PMCID: PMC4395987.
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Surg Neurol Int. 2015 Apr 01;6:52. doi: 10.4103/2152-7806.154452. eCollection 2015.

Microvascular decompression of the posterior inferior cerebellar artery for intermediate nerve neuralgia.

Surgical neurology international

Humberto Kluge Schroeder, Iuri Santana Neville, Daniel Ciampi de Andrade, Guilherme Alves Lepski, Manoel Jacobsen Teixeira, Kleber Paiva Duarte

Affiliations

  1. Division of Functional Neurosurgery, Department of Neurology, Hospital das Clinicas, University of São Paulo Medical School, São Paulo, Brazil.

PMID: 25883844 PMCID: PMC4395987 DOI: 10.4103/2152-7806.154452

Abstract

BACKGROUND: Intermediate nerve neuralgia (INN) is an extremely rare craniofacial pain disorder mainly caused by neurovascular compression.

CASE DESCRIPTION: We present the case of a 48-year-old female with a 20-month history of intractable paroxysmal INN on the right side. The patient described feeling paroxysmal pain in her auditory canal, pinna, deep in the jaw, and adjacent retromastoid area on the right side. She described the pain as being like a burning sensation. Magnetic resonance imaging showed the right posterior cerebellar artery crossing the cerebellopontine cistern in close contact with the right VII and VIII nerves. Surgical exploration via retromastoid craniotomy revealed vascular compression of the intermediate nerve by the posterior cerebellar artery. We therefore performed microvascular nerve decompression to relieve pain, and the patient remained pain-free at the 6-month follow-up visit.

CONCLUSION: INN should be considered as a differential diagnosis in cases with atypical facial neuralgia, and microvascular decompression is an effective treatment option that can provide optimal pain relief.

Keywords: Cranial neuralgia; intermediate nerve neuralgia; microvascular decompression surgery; neuralgia; neuropathic pain; paroxysmal nerve pain; posterior inferior cerebellar artery

References

  1. J Laryngol Otol. 2011 May;125(5):520-2 - PubMed
  2. Stereotact Funct Neurosurg. 2010;88(3):193-5 - PubMed
  3. J Craniofac Surg. 2014 Jul;25(4):1187-9 - PubMed
  4. Ear Nose Throat J. 2002 Jan;81(1):30-3 - PubMed
  5. Am J Otol. 1997 Jul;18(4):512-7 - PubMed
  6. Cephalalgia. 2004;24 Suppl 1:9-160 - PubMed
  7. World Neurosurg. 2013 May-Jun;79(5-6):763-7 - PubMed
  8. Dent Clin North Am. 2013 Jul;57(3):481-95 - PubMed
  9. Ann Anat. 2010 May 20;192(3):139-44 - PubMed
  10. J Neurosurg. 2007 Dec;107(6):1228-30 - PubMed
  11. J Neurosurg. 1968 Dec;29(6):609-18 - PubMed
  12. Acta Neurochir (Wien). 1988;91(3-4):142-3 - PubMed
  13. Neurology. 1984 May;34(5):682-3 - PubMed
  14. World Neurosurg. 2013 May-Jun;79(5-6):653-4 - PubMed
  15. World Neurosurg. 2013 May-Jun;79(5-6):651-2 - PubMed
  16. J Neurosurg. 1991 Oct;75(4):505-11 - PubMed
  17. Otolaryngol Clin North Am. 2003 Dec;36(6):1079-93, vi - PubMed
  18. Acta Neurochir (Wien). 2009 Aug;151(8):1003-4; discussion 1004 - PubMed

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