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The Journal of Headache and Pain
Published in: The Journal of Headache and Pain 1/2015

Open Access 01-12-2015 | Poster presentation

P001. Trigeminal neuralgia-like symptoms: an unusual case

Authors: Andrea Giorgetti, Patrizia Perrone, Maria V Calloni, Serena Leva, Francesco Muscia, Lucia Politini, Emilio Vecchio

Published in: The Journal of Headache and Pain | Special Issue 1/2015

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Excerpt

Lymphoma of the central nervous system[1] accounts for 2% of cerebral tumors; it is typically located in the supratentorial and periventricular white matter; extra-axial localization is rare. When found in the cerebellopontine angle or the Meckel cave[2], the differential diagnosis includes meningioma, trigeminal neurinoma or epidermoid carcinoma. Correlated painful symptoms are often atypical, mimicking trigeminal neuralgia, cluster headache or trigeminal autonomic cephalgias (TACs). Recommended therapy involves: chemotherapy with cyclophosphamide, high dose cytarabine, steroid (dexamethasone), etoposide, and rituximab (CHASER) followed by whole-brain irradiation. …
Literature
1.
Ang JW, Khanna A, Walcott BP, Kahle KT, Eskandar EN: Central nervous system lymphoma presenting as trigeminal neuralgia: A diagnostic challenge. J Clin Neurosci. 2015, 22 (7): 1188-90. 10.1016/j.jocn.2015.01.018.CrossRefPubMed
2.
Abdel Aziz KM, van Loveren HR: Primary lymphoma of Meckel's cave mimicking trigeminal schwannoma: case report. Neurosurgery. 1999, 44 (4): 859-62. 10.1097/00006123-199904000-00096. discussion 862-3CrossRef
3.
Kinoshita M, Izumoto S, Oshino S, Nonaka M, Moriuchi S, Maruno M, Yoshimine T: Primary malignant lymphoma of the trigeminal region treated with rapid infusion of high-dose MTX and radiation: case report and review of the literature. Surg Neurol. 2003, 60 (4): 343-8. 10.1016/S0090-3019(02)01046-7. discussion 348CrossRefPubMed
Metadata
Title
P001. Trigeminal neuralgia-like symptoms: an unusual case
Authors
Andrea Giorgetti
Patrizia Perrone
Maria V Calloni
Serena Leva
Francesco Muscia
Lucia Politini
Emilio Vecchio
Publication date
01-12-2015
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue Special Issue 1/2015
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/1129-2377-16-S1-A102

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