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Minim Invasive Neurosurg 2007; 50(2): 124-127
DOI: 10.1055/s-2007-982507
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Neuroendoscopically Assisted Cyst-Cisternal Shunting for a Quadrigeminal Arachnoid Cyst Causing Typical Trigeminal Neuralgia

Y.-i. Ohnishi 1 , Y. Fujimoto 2 , M. Taniguchi 3 , T. Tsuzuki 1 , T. Taki 1
  • 1Department of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan
  • 2Department of Neurosurgery, Social Insurance Kinan Hospital, Tanabe, Wakayama, Japan
  • 3Department of Neurosurgery, Yao Municipal Hospital, Yao, Osaka, Japan
Further Information

Publication History

Publication Date:
03 August 2007 (online)

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Abstract

A quadrigeminal cistern arachnoid cyst is a very rare cause of typical trigeminal neuralgia. A 62-year-old woman presented with right facial pain of 8 years duration. Neuroradiological findings revealed a cystic mass in the quadrigeminal region that compressed the cerebellum downward and the brainstem anteriorly and was associated with hydrocephalus. She had neuroendoscopically-assisted cyst-cisternal shunting via a small craniotomy. Postoperatively, the trigeminal neuralgia disappeared. The origin of the trigeminal neuralgia may have either been a marked distortion of the pons that caused stretching of the trigeminal nerve and irregular demyelination within the root entry zone, or there was contact between the root entry zone and a vascular structure. Neuroendoscopy is useful for treating arachnoid cysts; however, in order to safely relieve symptoms, the procedure needs to be appropriately adapted depending on the pathogenesis. In this paper, we review the literature and discuss the pathophysiology and treatment of our case.

Key words

Quadrigeminal arachnoid cyst - cyst-cisternal shunt - neuroendoscopy - trigeminal neuralgia

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Correspondence

T. Taki

Department of Neurosurgery

Kansai Rosai Hospital

Amagasaki

600-8511 Hyogo

Japan

Phone: +81/6/6416 12 21

Fax: +81/6/6419 18 70

Email: taki@kanrou.net

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