Middle fossa approach for a petrous apex bony spur causing trigeminal neuralgia: illustrative case

Forrest Hamrick, Samantha Colby, William T Couldwell, Shervin Rahimpour · 2024

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Description

Forrest Hamrick and three colleagues report a young patient whose facial nerve pain came from a spur of bone, in a 2024 case report. The pain condition, trigeminal neuralgia, usually stems from a blood vessel pressing the nerve near the brainstem.

The patient, a woman of twenty-one, had five years of worsening right-sided facial pain. Standard scans showed no vessel pressing the nerve. Side-view reconstructions instead showed a bony ridge squeezing the nerve at a skull opening. Surgery through the middle fossa removed the spur, and her symptoms vanished. The authors urge checking the nerve's full course when no vessel is at fault, above all in the young.

Catalog record

CREATORForrest Hamrick, Samantha Colby, William T Couldwell, Shervin Rahimpour
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE13 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11579912

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