Trigeminal neuralgia caused by a pontine abscess: Case report

Ahmet Bekar, Hasan Kocaeli, Emel Yilmaz, Şeref Dogan, Donlin M. Long, Yücel Kanpolat

Research output: Contribution to journalArticle

Abstract

OBJECTIVE and IMPORTANCE: Various intracranial abnormalities, including infectious conditions, may manifest as trigeminal neuralgia. CLINICAL PRESENTATION: A 33-year-old man presented with a 15-day history of right-sided facial pain and numbness. Neurological examination revealed diminished corneal reflex and facial sensation in the right V1-V2 distribution. Magnetic resonance imaging revealed a contrast-enhancing lesion centered at the right pons with extension of the enhancement to the sphenoid sinus. INTERVENTION: Broad-spectrum antibiotics were administered for 6 weeks. This resulted in alleviation of symptoms and resolution of the lesion as revealed by repeat magnetic resonance imaging. CONCLUSION: Presentation of a pons abscess with trigeminal neuralgia is rare, and to the best of our knowledge has not been reported previously. The patient was treated successfully with antibiotics alone.

Original languageEnglish (US)
Number of pages1
JournalNeurosurgery
Volume55
Issue number6
DOIs
StatePublished - Dec 1 2004

Keywords

  • Abscess
  • Pons
  • Sinusitis
  • Trigeminal neuralgia

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Bekar, A., Kocaeli, H., Yilmaz, E., Dogan, Ş., Long, D. M., & Kanpolat, Y. (2004). Trigeminal neuralgia caused by a pontine abscess: Case report. Neurosurgery, 55(6). https://doi.org/10.1227/01.NEU.0000143372.60209.09