• Journal of neurosurgery · Oct 2018

    Case Reports

    Ectopic brain tissue in the trigeminal nerve presenting as rapid-onset trigeminal neuralgia: case report.

    • Jeffrey H Zimering, Jonathan J Stone, Audrey Paulzak, John D Markman, Mahlon D Johnson, and G Edward Vates.
    • 1University of Rochester School of Medicine and Dentistry.
    • J. Neurosurg. 2018 Oct 1; 129 (4): 1063-1066.

    AbstractThe authors report the case of a 52-year-old man who presented with rapid-onset lancinating facial pain consistent with trigeminal neuralgia. Magnetic resonance imaging revealed a nonenhancing small lesion on the right trigeminal nerve concerning for an atypical schwannoma or neuroma. The patient underwent resection of the mass via a right retrosigmoid approach. His facial pain completely resolved immediately postoperatively and had not recurred at 6 months after surgery. The mass was consistent with normal brain tissue (neurons and glial cells) without evidence of mitoses. A final histopathological diagnosis of ectopic brain tissue with neural tissue demonstrating focal, chronic T-cell inflammation was made. The partial rhizotomy during resection was curative for the facial pain. To the authors' knowledge, this is the first report of neuroglial ectopia causing trigeminal neuralgia.

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