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Uncorrected Proof. Available online 28 November 2024
Trigeminal neuralgia secondary to minor size lesion, anatomical considerations and pathophysiology
Neuralgia trigeminal secundaria a lesión de pequeño tamaño, consideraciones anatómicas y fisiopatología
Adrián Fernández García
Corresponding author
fergarad@gmail.com

Corresponding author at: San Lorenzo Street, Number 9, 10th I, 47001 Valladolid, Spain.
, Carlos Alberto Rodríguez Arias, Estefanía Utiel Monsálvez, Herbert Daniel Jiménez Zapata
Neurosurgery Department, Universitary Clinic Hospital, Valladolid, Spain
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Abstract

Trigeminal neuralgia is a well-characterized disorder of high prevalence among the current population. It may be caused, among many other causes, by a tumor which contacts with the trigeminal nerve, often of large volume. We present the case of a middle-aged woman without any remarkable medical background who suffered a trigeminal neuralgia caused by a subcentimeter tumor which appeared to be a meningioma. Some small tumors like this one may be symptomatic whereas larger ones will not. We discuss the pathogenesis and characterization of the trigeminal neuralgia in such cases proposing some mechanisms that could be involved in the development of a secondary neuralgia.

Keywords:
Neuralgia
Trigeminal
Meningioma
Neurosurgery
Pain
Abbreviations:
CN V
DTI
ICHD-3
MRI
SCA
SSFP
V3
VAS
TN
Resumen

La neuralgia del trigémino es una patología bien descrita y de alta prevalencia en la población actual. Puede estar causada, entre otras muchas causas, por un tumor, habitualmente de gran tamaño, que contacte con el nervio trigeminal. Presentamos el caso de una mujer de edad media sin antecedentes de interés que padecía una neuralgia trigeminal causada por un meningioma subcentimétrico. Algunos tumores pequeños como este pueden ser sintomáticos mientras que otros de mayor tamaño no. Se discuten la patogenia y las características de la neuralgia trigeminal en tales casos proponiendo algunos mecanismos que podrían estar relacionados con el desarrollo de una neuralgia secundaria.

Palabras clave:
Neuralgia
Trigeminal
Meningioma
Neurocirugía
Dolor

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