Unusual Cause of Trigeminal Neuralgia: Arachnoid Cyst of Petrous Apex

DOI: 10.4236/oalib.1105807, PP. 1-6

Keywords: Arachnoid Cyst, Petrous Apex, Meckel’s Cave, Trigeminal Neuralgia

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Abstract:

Arachnoid cyst of petrous apex is an uncommon cyst lesion that herniates from the posterolateral portion of the Meckel’s cave into the petrous apex. It can be unilateral or bilateral, usually observed in female population. Its etiopathogenesis is still uncertain and many theories were reported in the literature. The characteristic imaging appearance, topography and benign behavior of the lesion allow to differentiate arachnoid cyst from other cyst-like lesions of petrous apex and prevent abusive surgery or unnecessary investigations. The purpose of this study is to illustrate through this observation the role of sectional imaging in the diagnosis of symptomatic arachnoid cyst of petrous apex.

References

[1]	Leclercq, D., Thiebaut, J.-B. and Héran, F. (2013) Névralgie du trijumeau. Diagnostic and Interventional Radiology, 94, 1000-1008. https://doi.org/10.1016/j.jradio.2013.07.005
[2]	Moore, K.R., Fischbein, N.J., Ric Harnsberger, H., Shelton, C., Glastonbury, C.M., White, D.K. amd Dillon, W.P. (2001) Petrous Apex Cephaloceles. American Journal of Neuroradiology, 22, 1867-1871.
[3]	Cavusoglu, M., Duran, S., Hatipoglu, H.G., C？l？z, D.S., Elverici, E. and Sakman, B. (2015) Petrous Apex Cephalocoele: Contribution of Coexisting Intracranial Pathologies to the Aetiopathogenesis. The British Journal of Radiology, 88, Article ID: 20140721. https://doi.org/10.1259/bjr.20140721
[4]	Alorainy, I.A. (2007) Petrous Apex Cephalocele and Empty Sella: Is There Any Relation? European Journal of Radiology, 62, 378-384. https://doi.org/10.1016/j.ejrad.2007.01.010
[5]	Hatipoglu, H.G., Cetin, M.A., Gürses, M.A., Daglioglu, E., Sakman, B. and Yüksel, E. (2010) Petrous Apex Cephalocele and Empty Sella/Arachnoid Cyst Coexistence: A Clue for Cerebrospinal Fluid Pressure Imbalance? Diagnostic and Interventional Radiology, 16, 7-9. https://doi.org/10.4261/1305-3825.DIR.2650-09.2
[6]	Isaacson, B., Coker, N.J., Vrabec, J.T., Yoshor, D. and Oghalai, J.S. (2006) Invasive Cerebrospinal Fluid Cysts and Cephaloceles of the Petrous Apex. Otology & Neurotology, 27, 1131-1141. https://doi.org/10.1097/01.mao.0000244353.26954.71
[7]	Jeong, B., Lee, G., Shim, J., Lee, J., Nam, M. and Kyun, H. (2011) Petrous Apex Cephalocele: Report of Two Cases and Review of the Literature. Journal of the Korean Society of Radiology, 64, 439-443. https://doi.org/10.3348/jksr.2011.64.5.439
[8]	Alkilic-Genauzeau, I., Boukobza, M., Lot, G., George, B. and Merland, J.J. (2007) Aspects TDM et IRM du kyste arachnoidien de l’apex petreux. Journal of Radiology, 88, 1179-1183. https://doi.org/10.1016/S0221-0363(07)89930-6
[9]	Batra, A., Tripathi, R.P., Singh, A.K. and Tatke, M. (2002) Petrous Apex Arachnoid Cyst Extending into Meckel’s Cave. India Australasian Radiology, 46, 295-298. https://doi.org/10.1046/j.1440-1673.2002.01063.x
[10]	Chapman, Ph.R., Ritu, S., Cure, J.K. and Bag, A.K. (2011) Petrous Apex Lesions: Pictorial Review. American Journal of Roentgenology, 196, WS26-WS37. https://doi.org/10.2214/AJR.10.7229
[11]	Jacob, M., Gujar, S., Trobe, J. and Gandhi, D. (2008) Spontaneous Resolution of a Meckel’s Cave Arachnoid Cyst Causing Sixth Cranial Nerve Palsy. Journal of Neuro-Ophthalmology, 28, 186-191. https://doi.org/10.1097/WNO.0b013e318183be6c

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