Trigeminal Neuralgia in a Patient with Osteopetrosis: A Case Report.
- Author:
Jung Seok KIM
1
;
Myung Ki LEE
;
Gi Han BAE
;
Yong Hun LEE
;
Dae Jo KIM
Author Information
1. Department of Neurosurgery, Maryknoll Hospital, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Osteopetrosis;
Trigeminal neuralgia;
Percutaneous radiofrequency rhizotomy
- MeSH:
Adult;
Blindness;
Bone Resorption;
Brain;
Cranial Nerve Diseases;
Female;
Foramen Ovale;
Humans;
Hypesthesia;
Neuralgia;
Olfaction Disorders;
Osteoclasts;
Osteopetrosis*;
Rare Diseases;
Rhizotomy;
Skull Base;
Trigeminal Neuralgia*
- From:Journal of Korean Neurosurgical Society
1998;27(8):1147-1151
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Osteopetrosis is a rare disease by a generalized increase in skeletal density and by abnormalities of bone modeling secondary to defective osteoclastic function with impairment of bone resorption. The various cranial nerve palsies may occur secondary to bony encroachment on the cranial foramina. The authors report a case of osteopetrosis with trigeminal neuralgia. This 30-year-old woman presented with the recurring attacks of severe lancinating paroxysmal pain on her right face(mandibular division>maxillary division>ophthalmic division) for 10 years and anosmia, both blindness for 20 years. Her foramen ovale and optic canal narrowings were caused by osteopetrosis. The neuralgia was refractory to medical treatment. Percutaneous radio-frequency rhizotomy for trigeminal neuralgia was performed and pain relief have been obtained. She was satisfied with the procedure, even if with facial numbness. In the case of trigeminal neuralgia in young patient without abnormal mass lesion on brain radiologic imaging studies, it is important to investigate the bony abnormalities of skull base. The authors believe that radiofrequency rhizotomy is the first choice of treatment for trigeminal neuralgia caused by the bony abnormalities of skull base such as osteopetrosis.
