Microscopic polyangiitis (MPA) is an ANCA-associated vasculitis. Almost half of the patients may present with involvement of the peripheral nervous system such as mononeuropathy or polyneuropathy. The initial treatment is with corticosteroids, and up to 30% are non-responders, where other treatments should be used. Rapidly progressive renal failure and intestinal ischemia are usually high-mortality complications.
{"title":"Paraparesis Secondary to Microscopic Polyangiitis Resistantto Corticosteroids. Report of a Case","authors":"Ignacio Saguier Padilla, Cinthya Reznik, María Eugenia Conti, Flavio Mercado, Agustina Causillas, Micaela Blanco, Ricardo Barcia","doi":"10.58624/svoane.2023.04.0109","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0109","url":null,"abstract":"Microscopic polyangiitis (MPA) is an ANCA-associated vasculitis. Almost half of the patients may present with involvement of the peripheral nervous system such as mononeuropathy or polyneuropathy. The initial treatment is with corticosteroids, and up to 30% are non-responders, where other treatments should be used. Rapidly progressive renal failure and intestinal ischemia are usually high-mortality complications.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"7 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136106372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.58624/svoane.2023.04.0108
Jeremy Eckes, Karla Romero-Chacon
Introduction: Patients with cirrhosis often present with pain as a common complaint. Pharmacological pain management safety depends on the excretion and metabolism of drugs by the kidney and the liver. The analgesic choice in cirrhotic patients can be tremendously challenging, especially in patients with hepatorenal syndrome, a potentially reversible renal impairment associated with an increased drug accumulation and a high risk of potential toxicity. Choice and dose of medications depend on various factors, including the severity of the condition, possible drug interactions, drug dependence, and liver transplant status. Ideally, medications should be titrated from the lowest effective dose to higher strength. This review aims to discuss the pharmacodynamic and pharmacokinetics of analgesics used in cirrhotic patients. The metabolism of each drug, route of administration, pathophysiology, and limitations of their use are discussed to better understand their implementation in patients with cirrhosis and HRS. For this purpose, we performed a systematic literature search in PubMed and Google Scholar. Articles were searched via search terms and keywords. Certain high potency opioids like Sufentanil, Fentanyl, Remifentanil, Oxymorphone, and Butorphanol can be used cautiously. Low potency opioids such as Pentazocine, Tramadol, Nalbuphine, and Tapentadol may also be considered with dose adjustments. Albeit less favorable, some other analgesic options include Gabapentin, Pregabalin, acetaminophen, Duloxetine, Venlafaxine, Fluoxetine, Topical Lidocaine, Capsaicin, and Clonidine. Methodology: A systematic literature search in PubMed and google scholar was conducted between March 5 and August 10, 2021. Articles were searched via search terms and keywords relating to International Classification of Diseases: hepatorenal syndrome, pain, opioids, metabolism, renal clearance. Results: One thousand three hundred eighty-seven articles were identified from database searching. After removal of duplicates, 924 studies were screened for eligibility. After review of titles and abstracts, 665 studies were rejected for relevance reasons. Most of these studies were rejected because they were not relevant, did not meet search criteria, case-control article, case series articles, no English translation, articles did not mention adjustments in patients with liver or kidney disease. One hundred forty-two articles were used for the synthesis.
{"title":"Pain Management in Patients with Hepatorenal Syndrome: A Literature Review","authors":"Jeremy Eckes, Karla Romero-Chacon","doi":"10.58624/svoane.2023.04.0108","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0108","url":null,"abstract":"Introduction: Patients with cirrhosis often present with pain as a common complaint. Pharmacological pain management safety depends on the excretion and metabolism of drugs by the kidney and the liver. The analgesic choice in cirrhotic patients can be tremendously challenging, especially in patients with hepatorenal syndrome, a potentially reversible renal impairment associated with an increased drug accumulation and a high risk of potential toxicity. Choice and dose of medications depend on various factors, including the severity of the condition, possible drug interactions, drug dependence, and liver transplant status. Ideally, medications should be titrated from the lowest effective dose to higher strength. This review aims to discuss the pharmacodynamic and pharmacokinetics of analgesics used in cirrhotic patients. The metabolism of each drug, route of administration, pathophysiology, and limitations of their use are discussed to better understand their implementation in patients with cirrhosis and HRS. For this purpose, we performed a systematic literature search in PubMed and Google Scholar. Articles were searched via search terms and keywords. Certain high potency opioids like Sufentanil, Fentanyl, Remifentanil, Oxymorphone, and Butorphanol can be used cautiously. Low potency opioids such as Pentazocine, Tramadol, Nalbuphine, and Tapentadol may also be considered with dose adjustments. Albeit less favorable, some other analgesic options include Gabapentin, Pregabalin, acetaminophen, Duloxetine, Venlafaxine, Fluoxetine, Topical Lidocaine, Capsaicin, and Clonidine. Methodology: A systematic literature search in PubMed and google scholar was conducted between March 5 and August 10, 2021. Articles were searched via search terms and keywords relating to International Classification of Diseases: hepatorenal syndrome, pain, opioids, metabolism, renal clearance. Results: One thousand three hundred eighty-seven articles were identified from database searching. After removal of duplicates, 924 studies were screened for eligibility. After review of titles and abstracts, 665 studies were rejected for relevance reasons. Most of these studies were rejected because they were not relevant, did not meet search criteria, case-control article, case series articles, no English translation, articles did not mention adjustments in patients with liver or kidney disease. One hundred forty-two articles were used for the synthesis.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"33 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136106120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-25DOI: 10.58624/svoane.2023.04.0107
Yacine FELISSI
Pericallosal aneurysms can affect any segment of the anterior cerebral artery distal to the anterior communicating artery. They represent relatively 9% of all intracranial aneurysms and are mainly revealed by a hemorrhagic stroke in different forms. This retrospective study reviewed all patients that received clipping for DACA aneurysms among all cases of brain aneurysms. 10 patients were included in this group and several parameters were evaluated. 60% of patients were female and their ages ranged from 44 to 78 years. 80% of candidates complained of headaches and 50% presented seizures clipping. 60% of patients presented an IPH at their first presentation while SAH was found in half of them. A good WFNS score was noticed and almost of patients (80 %) were graded I. Most of aneurysms (80%) were located at the pericallosal – callosomarginal junction. We had two cases (20%) with additional aneurysms in other localizations. All of them received microsurgical clipping. most of them had good short and long -term follow-ups. We had one death after several systemic complications. DACA aneurysms are revealed at a small size with the onset of cingular hematoma or SAH, especially in the interhemispheric cistern. This could affect the cognitive functions and is considered a determining factor in the patient’s quality of life. The surgical clipping is an effective and durable option for their management
{"title":"Revelation and Management of Distal Anterior Cerebral Artery Aneurysms","authors":"Yacine FELISSI","doi":"10.58624/svoane.2023.04.0107","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0107","url":null,"abstract":"Pericallosal aneurysms can affect any segment of the anterior cerebral artery distal to the anterior communicating artery. They represent relatively 9% of all intracranial aneurysms and are mainly revealed by a hemorrhagic stroke in different forms. This retrospective study reviewed all patients that received clipping for DACA aneurysms among all cases of brain aneurysms. 10 patients were included in this group and several parameters were evaluated. 60% of patients were female and their ages ranged from 44 to 78 years. 80% of candidates complained of headaches and 50% presented seizures clipping. 60% of patients presented an IPH at their first presentation while SAH was found in half of them. A good WFNS score was noticed and almost of patients (80 %) were graded I. Most of aneurysms (80%) were located at the pericallosal – callosomarginal junction. We had two cases (20%) with additional aneurysms in other localizations. All of them received microsurgical clipping. most of them had good short and long -term follow-ups. We had one death after several systemic complications. DACA aneurysms are revealed at a small size with the onset of cingular hematoma or SAH, especially in the interhemispheric cistern. This could affect the cognitive functions and is considered a determining factor in the patient’s quality of life. The surgical clipping is an effective and durable option for their management","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"55 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-25DOI: 10.58624/svoane.2023.04.0106
Enrique Marcos Sierra Benitez
In daily Neurosurgical practice in Botswana we can observe dissimilar pathologies located in deep brain structures where a conventional neurosurgical approach would cause irreversible damage. In these cases, exact localization methods with stereotaxy play a leading role. Unfortunately, the country does not have such a system and it is necessary to refer patients to other countries such as South Africa or India to provide them with these services, at an extremely considerable cost and in many cases these processes are delayed, which produces irreversible deterioration of the patients. We believe that with the implementation of a stereotactic system in Botswana, the costs of these types of procedures can be reduced and, in turn, greater effectiveness and safety can be achieved in the treatment of these diseases.
{"title":"Importance of the Implementation of a Stereotaxy System forNeurosurgical Activity in Botswana","authors":"Enrique Marcos Sierra Benitez","doi":"10.58624/svoane.2023.04.0106","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0106","url":null,"abstract":"In daily Neurosurgical practice in Botswana we can observe dissimilar pathologies located in deep brain structures where a conventional neurosurgical approach would cause irreversible damage. In these cases, exact localization methods with stereotaxy play a leading role. Unfortunately, the country does not have such a system and it is necessary to refer patients to other countries such as South Africa or India to provide them with these services, at an extremely considerable cost and in many cases these processes are delayed, which produces irreversible deterioration of the patients. We believe that with the implementation of a stereotactic system in Botswana, the costs of these types of procedures can be reduced and, in turn, greater effectiveness and safety can be achieved in the treatment of these diseases.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"4 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-18DOI: 10.58624/svoane.2023.04.0105
Yacine FELISSI
Introduction: Chiari malformation type I (CM I) is an abnormality of the craniovertebral junction affecting both adults and children. Its genesis is not clear however a reduced volume of the posterior fossa looks to play a significant role. We aim to report our experience in the diagnosis and the surgical management of CM I. Methods: A prospective study was conducted in our department over three years. We have included 50 patients diagnosed with CM I and surgically managed. We reviewed different criteria; epidemiological, clinical, and radiological before and after surgery to evaluate the efficiency of surgery in our patients. The data were analyzed using the Epidata software. Results: The most encountered preoperative symptoms were headaches majored by Valsalva in 100 ℅ and sensitive disorders (suspended sensory disorders in 32℅ and thermo-algesic dissociation in 32 ℅). Preoperative imaging showed that 66% have Chiari type I, 28% have Chiari type 1.5, and 06% have Chiari type 0. The bony and dural opening was performed in all patients. In 70% of patients, cerebellar tonsils were coagulated in 58% and resected in 12% of cases unilaterally. The thenar and hypothenar amyotrophies improved only in 10% of cases, and thermo-algesic dissociation improved in 63%. Conclusion: Surgical management for CM I is a safe and efficient procedure to relieve preoperative symptoms. Bony and dural is considered a good surgical technique. Additional maneuvers on tonsils should be added according to the preoperative finding after arachnoidal opening.
{"title":"Diagnosis and Surgical Management of Chiari Malformation Type I","authors":"Yacine FELISSI","doi":"10.58624/svoane.2023.04.0105","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0105","url":null,"abstract":"Introduction: Chiari malformation type I (CM I) is an abnormality of the craniovertebral junction affecting both adults and children. Its genesis is not clear however a reduced volume of the posterior fossa looks to play a significant role. We aim to report our experience in the diagnosis and the surgical management of CM I. Methods: A prospective study was conducted in our department over three years. We have included 50 patients diagnosed with CM I and surgically managed. We reviewed different criteria; epidemiological, clinical, and radiological before and after surgery to evaluate the efficiency of surgery in our patients. The data were analyzed using the Epidata software. Results: The most encountered preoperative symptoms were headaches majored by Valsalva in 100 ℅ and sensitive disorders (suspended sensory disorders in 32℅ and thermo-algesic dissociation in 32 ℅). Preoperative imaging showed that 66% have Chiari type I, 28% have Chiari type 1.5, and 06% have Chiari type 0. The bony and dural opening was performed in all patients. In 70% of patients, cerebellar tonsils were coagulated in 58% and resected in 12% of cases unilaterally. The thenar and hypothenar amyotrophies improved only in 10% of cases, and thermo-algesic dissociation improved in 63%. Conclusion: Surgical management for CM I is a safe and efficient procedure to relieve preoperative symptoms. Bony and dural is considered a good surgical technique. Additional maneuvers on tonsils should be added according to the preoperative finding after arachnoidal opening.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135942995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-08DOI: 10.58624/svoane.2023.04.0104
Yacine FELISSI
We present a case of a 51-year-old man with a history of hypertension and diabetes who underwent cerebral angiography for evaluation of spontaneous subarachnoid hemorrhage. The procedure was unremarkable, but the patient did not wake up and remained minimally responsive afterward. Imaging studies showed bilateral medial thalamic and midbrain infarctions consistent with an artery of Percheron infarction. The patient received antiplatelet therapy and had minimal improvement in his cognitive function. He was discharged to a rehab center after one week of hospitalization. We shortly discuss this rare complication including the risk factor, clinical presentation, and the management.
{"title":"Acute Infarction in the Artery of Percheron Territory During Cerebral Angiography: A Case Report","authors":"Yacine FELISSI","doi":"10.58624/svoane.2023.04.0104","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0104","url":null,"abstract":"We present a case of a 51-year-old man with a history of hypertension and diabetes who underwent cerebral angiography for evaluation of spontaneous subarachnoid hemorrhage. The procedure was unremarkable, but the patient did not wake up and remained minimally responsive afterward. Imaging studies showed bilateral medial thalamic and midbrain infarctions consistent with an artery of Percheron infarction. The patient received antiplatelet therapy and had minimal improvement in his cognitive function. He was discharged to a rehab center after one week of hospitalization. We shortly discuss this rare complication including the risk factor, clinical presentation, and the management.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135252307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-25DOI: 10.58624/svoane.2023.04.0103
Enrique Marcos Sierra Benitez, Mairianny Quianella León Pérez, Yohanny Pérez González, Javier Martínez Gómez, Odaliza Casañola Chávez, Esteban Cabrales Manrique
We present a 47-year-old female patient with a personal pathological history of squamous cell carcinoma of the cervix treated with multimodal therapy. She is rushed to our hospital because of a generalized tonic-clonic seizure. After performing computed axial tomography and magnetic resonance imaging studies of the skull, an occipital lesion was evident that was located above the tentorium cerebellum in relation to her right transverse sinus. An occipital approach is performed where said lesion is completely
{"title":"Occipital Cavernous Malformation. Case Report and Literature Review","authors":"Enrique Marcos Sierra Benitez, Mairianny Quianella León Pérez, Yohanny Pérez González, Javier Martínez Gómez, Odaliza Casañola Chávez, Esteban Cabrales Manrique","doi":"10.58624/svoane.2023.04.0103","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0103","url":null,"abstract":"We present a 47-year-old female patient with a personal pathological history of squamous cell carcinoma of the cervix treated with multimodal therapy. She is rushed to our hospital because of a generalized tonic-clonic seizure. After performing computed axial tomography and magnetic resonance imaging studies of the skull, an occipital lesion was evident that was located above the tentorium cerebellum in relation to her right transverse sinus. An occipital approach is performed where said lesion is completely","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135867928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-07DOI: 10.58624/svoane.2023.04.0102
Enrique Marcos Sierra Benitez
Objective: To describe the surgical results in patients operated on for traumatic brain injury in a hospital in Botswana. Methods: Observational, descriptive, cross-sectional study, in the period from January 2023 to August 2023, at the Nyangabgwe Referal Hospital in Botswana. The sample under study consisted of 50 patients. General and specific variables of the traumatic Brain injury were analyzed. Results: The average age was 40.8 years, with a predominance of males (86%), the most frequent cause of head trauma was aggression (50%), chronic subdural hematoma predominated (36%), with intrahospital pneumonia being the complication more frequent (10%), mortality was 12%. Conclusions: Traumatic brain injury is a health problem in Botswana, it behaves with an incidence and prevalence that rises despite the small population of the country. Surgical results of a heterogeneous group of pathologies secondary to TBI were described.
{"title":"Surgical Results in Neurotraumatology in a Hospital in Botswana","authors":"Enrique Marcos Sierra Benitez","doi":"10.58624/svoane.2023.04.0102","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0102","url":null,"abstract":"Objective: To describe the surgical results in patients operated on for traumatic brain injury in a hospital in Botswana. Methods: Observational, descriptive, cross-sectional study, in the period from January 2023 to August 2023, at the Nyangabgwe Referal Hospital in Botswana. The sample under study consisted of 50 patients. General and specific variables of the traumatic Brain injury were analyzed. Results: The average age was 40.8 years, with a predominance of males (86%), the most frequent cause of head trauma was aggression (50%), chronic subdural hematoma predominated (36%), with intrahospital pneumonia being the complication more frequent (10%), mortality was 12%. Conclusions: Traumatic brain injury is a health problem in Botswana, it behaves with an incidence and prevalence that rises despite the small population of the country. Surgical results of a heterogeneous group of pathologies secondary to TBI were described.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135098347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-28DOI: 10.58624/svoane.2023.04.0101
David Enrique Barbero Jimenez, Judit Villamor Rodríguez, Maria de la Cruz Barbero Jiménez, Diego Domingo Merino
Sarcoidosis is a systemic inflammatory disorder characterized by non-caseating granulomas with variable involvement of the lungs, central nervous system (CNS), skin, liver, bone, and eye. Neurosarcoidosis is similarly heterogeneous with diverse anatomical manifestations and response to therapy. The diagnosis of neurosarcoidosis is established by the clinical syndrome, imaging and histopathological findings, and exclusion of other causes. In this narrative review, we summarize recent advances in the diagnosis and treatment of neurosarcoidosis.
{"title":"Neurosarcoidosis: Review and Update of the Mimic Disease","authors":"David Enrique Barbero Jimenez, Judit Villamor Rodríguez, Maria de la Cruz Barbero Jiménez, Diego Domingo Merino","doi":"10.58624/svoane.2023.04.0101","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.0101","url":null,"abstract":"Sarcoidosis is a systemic inflammatory disorder characterized by non-caseating granulomas with variable involvement of the lungs, central nervous system (CNS), skin, liver, bone, and eye. Neurosarcoidosis is similarly heterogeneous with diverse anatomical manifestations and response to therapy. The diagnosis of neurosarcoidosis is established by the clinical syndrome, imaging and histopathological findings, and exclusion of other causes. In this narrative review, we summarize recent advances in the diagnosis and treatment of neurosarcoidosis.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135088413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-27DOI: 10.58624/svoane.2023.04.096
M. Rivera, Enrique Aguilar
Trigeminal neuralgia, a chronic neuropathic pain, is characterized by frequent episodes of stabbing facial pain, in the territory of the trigeminal nerve, which can severely impair patient’s quality of life. It is primarily caused by vascular compression of the trigeminal nerve root, but it is sometimes secondary to other identifiable neurological conditions, such as multiple sclerosis or a cerebellopontine angle tumor. Uncommonly, it may be caused by the presence of idiopathic intracranial hypertension, a condition most likely identified by headache, visual disturbances, and sixth nerve palsy, among other manifestations. Secondary causes of trigeminal neuralgia are usually detected after an atypical clinical manifestation, such as ophthalmic rather than maxillary or mandibular nerve involvement, more than one branch affected, or bilateral symptoms. We present a patient who presented with trigeminal neuralgia as a primary manifestation, and after thorough evaluation she was diagnosed with intracranial hypertension as the underlying mechanism responsible of the trigeminal neuralgia.
{"title":"Trigeminal Neuralgia as An Atypical Manifestation of Intracranial Hypertension. Case Report and Literature Review","authors":"M. Rivera, Enrique Aguilar","doi":"10.58624/svoane.2023.04.096","DOIUrl":"https://doi.org/10.58624/svoane.2023.04.096","url":null,"abstract":"Trigeminal neuralgia, a chronic neuropathic pain, is characterized by frequent episodes of stabbing facial pain, in the territory of the trigeminal nerve, which can severely impair patient’s quality of life. It is primarily caused by vascular compression of the trigeminal nerve root, but it is sometimes secondary to other identifiable neurological conditions, such as multiple sclerosis or a cerebellopontine angle tumor. Uncommonly, it may be caused by the presence of idiopathic intracranial hypertension, a condition most likely identified by headache, visual disturbances, and sixth nerve palsy, among other manifestations. Secondary causes of trigeminal neuralgia are usually detected after an atypical clinical manifestation, such as ophthalmic rather than maxillary or mandibular nerve involvement, more than one branch affected, or bilateral symptoms. We present a patient who presented with trigeminal neuralgia as a primary manifestation, and after thorough evaluation she was diagnosed with intracranial hypertension as the underlying mechanism responsible of the trigeminal neuralgia.","PeriodicalId":93502,"journal":{"name":"SVOA neurology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45313426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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