Abstract
Based on the data of world literature, the combination of cerebellopontine angle tumors (CPA) and trigeminal neuralgia (TN) caused by neurovascular conflict (NVC) is rare. TN for CPA tumors is predominantly caused by the V cranium nerve compression by tumor masses. The article presents the variants of the classification of the anatomical relationship between tumor, nerve and vessels in this pathology, as well as the recommendations on diagnostics and tactics of surgical treatment. All patients with TN should undergo MRI of the brain and least one of the modes of visualization of the cranial nerves included in the protocol of the study. Removal of CPA tumor should be combined with revision of TN root and mandatory elimination of the NVC.
Highlights
Кафедра нервных болезней и нейрохирургии ФПО, Днепропетровская медицинская академия МЗ Украины, Днепр, Украина 2 Отделение церебральной нейрохирургии No 2, Днепропетровская областная клиническая больница им
В то же время, в мировой литературе имеются сведения, об отсутствии невралгии тройничного нерва (НТН) при анализе клинических наблюдений опухоли мостомозжечкового угла (ММУ) [7]
Огромный интерес как с клинической, так и патогенетической точки зрения, вызывают спорадические наблюдения, когда НТН возникает на стороне противоположной опухоли ММУ
Summary
Кафедра нервных болезней и нейрохирургии ФПО, Днепропетровская медицинская академия МЗ Украины, Днепр, Украина 2 Отделение церебральной нейрохирургии No 2, Днепропетровская областная клиническая больница им. Удаление опухоли ММУ следует сочетать с ревизией корешка тройничного нерва (ТН) и обязательным устранением НВК. Based on the data of world literature, the combination of cerebellopontine angle tumors (CPA) and trigeminal neuralgia (TN) caused by neurovascular conflict (NVC) is rare.
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