Resolution of refractory trigeminal neuralgia after endoscopic decompression of the foramina rotundum and ovale in a patient with bilateral petrous apex cephaloceles: illustrative case
An extended EEA to decompress CNV divisions at the foramina rotundum and ovale may be effective in refractory cases. PACs and associated bony dehiscence may complicate the understanding of TN etiology and impair radiographic visualization of CNV and surrounding structures. There is no clear evidence to support surgical management of PACs and symptom resolution. https://thejns.org/doi/10.3171/CASE24283.
Authors
- Hope M. Reecher (ORCID: https://orcid.org/0000-0001-5112-2401)
- Stephanie A Armstrong (ORCID: https://orcid.org/0000-0002-5173-2602)
- Christopher M. Long (ORCID: https://orcid.org/0000-0002-9659-0150)
- Stephanie Kim Cheok (ORCID: https://orcid.org/0000-0002-1797-1124)
- Stephanie L. Schwartz
- Samon Tavakoli (ORCID: https://orcid.org/0000-0002-7843-7072)
- Nathan Thomas Zwagerman (ORCID: https://orcid.org/0000-0001-9795-9303)
- Christina Feller (ORCID: https://orcid.org/0000-0001-7831-2854)
Institutions
- Medical College of Wisconsin (US)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-02-24
- DOI
- https://doi.org/10.3171/case24283
- Citations
- 1
- Primary Topic
- Head and Neck Surgical Oncology
- Type
- article
- Field-Weighted Citation Impact
- 2.01