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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(01): 124-128
DOI: 10.1055/s-0042-1759638
Case Report

Absence of Meckel's Cave with Trigeminal Neuralgia: A Case Report

Asma AlHatmi
1   Department of Radiology, Ibri Hospital, Ibri, Oman
,
Ahmed Al-Qassabi
2   Division of Neurology, Department of Medicine, Sultan Qaboos University Hospital, Muscat, Al-Khoudh, Oman
,
Sameer Bhimjibhai Raniga 
3   Department of Radiology and Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Al-Khoudh, Oman
,
Eiman Al Ajmi 
3   Department of Radiology and Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Al-Khoudh, Oman
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Abstract

Trigeminal neuralgia (TN) is a disabling painful condition along the course of the sensory distribution of the trigeminal nerve that most commonly occurs due to vascular compression or conflict at the root entry zone of the trigeminal nerve. We report a 27-year-old female patient who presented with pain and an electric shock-like sensation on the right side of her face that started three years ago. Magnetic resonance imaging of the brain was done and revealed no neurovascular conflict along the course of the trigeminal nerve. The absence of Meckel's cave with atrophy of the cisternal segment of the trigeminal nerve on the affected side was reported. The absence of Meckel's cave is an exceedingly rare cause of TN, and only a handful of reported cases in the literature suggest the association between them.

Keywords

trigeminal neuralgia - neurovascular conflict - root entry zone - Meckel's cave

Informed Consent

An informed written consent was obtained from the patient and attached in the same email.




Publikationsverlauf

Artikel online veröffentlicht:
07. Dezember 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Jain A, Muneer MS, Okromelidze L. et al. Absence of Meckel cave: a rare cause of trigeminal neuralgia. Am J Neuroradiol 2021; 42 (09) 1610-1614
    CrossrefPubMedGoogle Scholar
  • 2 Cleary DR, Handwerker J, Ansari H, Ben-Haim S. Three cases of trigeminal neuralgia with radiographic absence of Meckel's cave. Stereotact Funct Neurosurg 2019; 97 (04) 249-254
    CrossrefPubMedGoogle Scholar
  • 3 Katusic S, Beard CM, Bergstralh E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol 1990; 27 (01) 89-95
    CrossrefPubMedGoogle Scholar
  • 4 Maarbjerg S, Gozalov A, Olesen J, Bendtsen L. Trigeminal neuralgia–a prospective systematic study of clinical characteristics in 158 patients. Headache 2014; 54 (10) 1574-1582
    CrossrefPubMedGoogle Scholar
  • 5 Lee A, McCartney S, Burbidge C, Raslan AM, Burchiel KJ. Trigeminal neuralgia occurs and recurs in the absence of neurovascular compression. J Neurosurg 2014; 120 (05) 1048-1054
    CrossrefPubMedGoogle Scholar
  • 6 Marinković S, Todorović V, Gibo H. et al. The trigeminal vasculature pathology in patients with neuralgia. Headache 2007; 47 (09) 1334-1339
    CrossrefPubMedGoogle Scholar
  • 7 Shadani K, Kumar A, Rehan B, Banhwar IA. Absent Meckel's cave in MRI, in a clinically diagnosed case of trigeminal neuralgia. A very rare case report. PJR 2020; 30 (04) 293-295
    Google Scholar
  • 8 Sundararajan S, Loevner LA, Mohan S. Mandibular myalgia and miniscule Meckel's caves. ORL J Otorhinolaryngol Relat Spec 2018; 80 (02) 103-107
    CrossrefPubMedGoogle Scholar
  • 9 Milne AD, Chui L, Mishra AV, Maxner CE. Unilateral hypoplasia of the trigeminal ganglion. Can J Ophthalmol 2005; 40 (06) 772-774
    CrossrefPubMedGoogle Scholar
  • 10 Lin J, Zhang Y, Li W, Yan J, Ke Y. Flatness of the Meckel cave may cause primary trigeminal neuralgia: a radiomics-based study. J Headache Pain 2021; 22 (01) 104
    CrossrefPubMedGoogle Scholar
  • 11 Malhotra A, Tu L, Kalra VB. et al. Neuroimaging of Meckel's cave in normal and disease conditions. Insights Imaging 2018; 9 (04) 499-510
    CrossrefPubMedGoogle Scholar
  • 12 Adams CB, Kaye AH, Teddy PJ. The treatment of trigeminal neuralgia by posterior fossa microsurgery. J Neurol Neurosurg Psychiatry 1982; 45 (11) 1020-1026
    CrossrefPubMedGoogle Scholar