Trigeminal neuralgia caused by a pontine abscess: Case report

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

doi:10.1227/01.NEU.0000143372.60209.09

Trigeminal neuralgia caused by a pontine abscess: Case report

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

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 language	English (US)
Pages (from-to)	1434
Number of pages	1
Journal	Neurosurgery
Volume	55
Issue number	6
DOIs	https://doi.org/10.1227/01.NEU.0000143372.60209.09
State	Published - Dec 2004

Keywords

Abscess
Pons
Sinusitis
Trigeminal neuralgia

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1227/01.NEU.0000143372.60209.09

Cite this

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title = "Trigeminal neuralgia caused by a pontine abscess: Case report",

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.",

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AU - Kocaeli, Hasan

AU - Yilmaz, Emel

AU - Dogan, Şeref

AU - Long, Donlin M.

AU - Kanpolat, Yücel

PY - 2004/12

Y1 - 2004/12

N2 - 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.

AB - 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.

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KW - Sinusitis

KW - Trigeminal neuralgia

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Trigeminal neuralgia caused by a pontine abscess: Case report

Abstract

Keywords

ASJC Scopus subject areas

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