WHAT IS THE REASON FOR LATE DIAGNOSIS OF SECONDARY TRIGEMINAL NEURALGIA?
Abstract
Objective: to search the criteria for early diagnosis of secondary trigeminal neuralgia (TN) as the primary sign of mass lesions of lateral cistern of the pons. Material and methods. The clinical features of TN as the first symptom of mass lesions of lateral cistern of the pons were studied in 21 persons among 253 patients operated on because of TN. Results: the staging of clinical signs development of secondary TN was established: 1st stage — syndrome of classical TN; 2d stage — syndrome of trigeminal neuropathy; 3d stage — combination of clinical signs of TN or trigeminal neuropathy with symptoms of mass lesion. Conclusions: The clinical signs of classical TN in case of mass lesions of lateral cistern of the pons are resulting from development of neurovascular conflict in patients with premorbid contact or close relationships between root of trigeminal nerve and superior cerebellar artery. The brain MRI is prescribed in case of clinical signs of classical TN in patients younger than 40-50 years old for exclusion of secondary nature of disease. One should not use the destructive operation before exclusion of secondary nature of TN using intrascopic examination. The brain MRI is also justified for for exclusion of secondary nature of disease in any deviance from clinical manifestation of classical TN.
About the Authors
E. V. Balyazina
ГБОУ ВПО «Ростовский государственный медицинский университет» МЗ РФ.
Russian Federation
Russian Federation
V. A. Balyazin
ГБОУ ВПО «Ростовский государственный медицинский университет» МЗ РФ.
Russian Federation
Russian Federation
O. I. Bondareva
ГБОУ ВПО «Ростовский государственный медицинский университет» МЗ РФ.
Russian Federation
Russian Federation
T. A. Isakhanova
ГБОУ ВПО «Ростовский государственный медицинский университет» МЗ РФ.
Russian Federation
Russian Federation
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Review
For citations:
Balyazina E.V., Balyazin V.A., Bondareva O.I., Isakhanova T.A. WHAT IS THE REASON FOR LATE DIAGNOSIS OF SECONDARY TRIGEMINAL NEURALGIA? Russian journal of neurosurgery. 2016;(1):35-40. (In Russ.)
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