CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2017; 06(03): 220-222
DOI: 10.1055/s-0036-1596043
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Pituitary Adenoma Presenting As Trigeminal Neuralgia

Abrar A. Wani
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu & Kashmir, India
,
Altaf U. Ramzan
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu & Kashmir, India
,
Abdul Q. Khan
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu & Kashmir, India
,
Nayil K. Malik
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu & Kashmir, India
,
Khalid Pervez
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu & Kashmir, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

09. April 2015

17. September 2016

Publikationsdatum:
11. September 2017 (online)

Abstract

Compression of trigeminal nerve in cavernous sinus leading to trigeminal neuralgia is one of the rare presentations of pituitary tumor. We report a patient whose presenting complaint was trigeminal neuralgia in V1, V2 distribution and he had pituitary macroadenoma invading ipsilateral cavernous sinus. After surgery, the neuralgia disappeared completely.

 
  • References

  • 1 Pareja JA, Shen JM, Kruszewski P, Caballero V, Pamo M, Sjaastad O. SUNCT syndrome: duration, frequency, and temporal distribution of attacks. Headache 1996; 36 (03) 161-165
  • 2 Borne G. Trigeminal neuralgia as the presenting symptom of a tuberculoma of the cerebellopontine angle. Case report. J Neurosurg 1968; 28 (05) 480-482
  • 3 Du R, Binder DK, Halbach V, Fischbein N, Barbaro NM. Trigeminal neuralgia in a patient with a dural arteriovenous fistula in Meckel's cave: case report. Neurosurgery 2003; 53 (01) 216-221 , discussion 221
  • 4 Fritz C, Rösler A, Heyden B, Braune HJ. Trigeminal neuralgia as a clinical manifestation of Lyme neuroborreliosis. J Neurol 1996; 243 (04) 367-368
  • 5 Delitala A, Brunori A, Chiappetta F. Trigeminal neuralgia resulting from infarction of the root entry zone of the trigeminal nerve: case report. Neurosurgery 1999; 45 (01) 202
  • 6 Gazioğlu N, Tanriöver N, Tüzgen S. Pituitary tumour presenting with trigeminal neuralgia as an isolated symptom. Br J Neurosurg 2000; 14 (06) 579
  • 7 Friedman AH, Wilkins RH, Kenan PD, Olanow CW, Dubois PJ. Pituitary adenoma presenting as facial pain: report of two cases and review of the literature. Neurosurgery 1982; 10 (6 Pt 1): 742-745
  • 8 Arafah BM, Prunty D, Ybarra J, Hlavin ML, Selman WR. The dominant role of increased intrasellar pressure in the pathogenesis of hypopituitarism, hyperprolactinemia, and headaches in patients with pituitary adenomas. J Clin Endocrinol Metab 2000; 85 (05) 1789-1793
  • 9 Abe T, Matsumoto K, Kuwazawa J, Toyoda I, Sasaki K. Headache associated with pituitary adenomas. Headache 1998; 38 (10) 782-786
  • 10 Ferrari MD, Haan J, van Seters AP. Bromocriptine-induced trigeminal neuralgia attacks in a patient with a pituitary tumor. Neurology 1988; 38 (09) 1482-1484
  • 11 Levy MJ, Matharu MS, Goadsby PJ. Prolactinomas, dopamine agonists and headache: two case reports. Eur J Neurol 2003; 10 (02) 169-173
  • 12 Shakur SF, Bhansali A, Mian AY, Rosseau GL. Neurosurgical treatment of trigeminal neuralgia. Dis Mon 2011; 57 (10) 570-582
  • 13 Elias WJ, Burchiel KJ. Trigeminal neuralgia and other neuropathic pain syndromes of the head and face. Curr Pain Headache Rep 2002; 6 (02) 115-124
  • 14 Fahlbusch R, Buchfelder M. Transsphenoidal surgery of parasellar pituitary adenomas. Acta Neurochir (Wien) 1988; 92 (1–4): 93-99