{"id":"60ab75d3-52e0-42cc-bb7a-b163fcb227e2","slug":"cranial-nerve-cavernous-malformations-causing-trigeminal-neuralgia-and-chiasmal-apoplexy-report-of-2-cases-and-review-of-the-literature","title":"Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature","authors":["Nuno Miguel Pereira de Morais","António Lino Rodrigues Mascarenhas","João Paulo Soares-Fernandes","José António Moreira da Costa"],"abstract":"Background: Cavernous malformations (CMs) confined to the cranial nerves (CN) are extremely rare lesions. Case Description: The authors report 2 cases of CMs, one involving the trigeminal nerve presenting with a 3 years history of a refractory right trigeminal neuralgia that was microsurgically resected by a retromastoid approach with resolution of the neuralgia; and another CM involving the chiasma with an abrupt onset of vision loss with acute intralesional bleeding that was removed through a right pterional approach with vision improvement. Conclusion: Surgical resection is recommended in the context of progressive significant neurological deficit, emergency decompression as a result of recent hemorrhage for symptomatic relief or increase in size on serial magnetic resonance imaging (MRI).","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/60ab75d3-52e0-42cc-bb7a-b163fcb227e2/featured/hero-1782421008954.png","publishDate":"2012-09-13T00:00:00.000Z","doi":"10.4103/2152-7806.100864","categories":["Original Article"],"fullTextUrl":"http://sni.wpengine.com/wp-content/uploads/2015/05/3445/SNI-3-105.pdf"}