Öz
A 40-year-old man developed massive subarachnoid hemorrhage following attempted radiofrequency ablation for trigeminal neuralgia. The patient had a 10-year history of trigeminal neuralgia at the ophthalmic and maxillary branches of the left trigeminal nerve. After the procedure, the patients pain resolved completely, but one hour later sudden onset of severe headache in the frontal region was appeared. Computed tomography (CT) scan of the cranium showed massive subarachnoid hemorrhage, and an air bubble was observed in the left cavernous sinus. Herein, we present the CT feature of this rare complication. Keywords: Radiofrequency ablation; subarachnoid hemorrhage; traumatic; trigeminal neuralgia
Anahtar Kelimeler
Kaynakça
- 1. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery 2001;48(4):524-32
- 2. Kurt E, Atım A. Interventional procedures for the treatment of headache and facial pain. Turkiye Klinikleri J Ear Nose Throat- Special Topics 2010;3(3):66-74
- 3. Meglio M, Cioni B, Moles A, Visocchi M. Microvascular decompression versus percutaneous procedures for typical trigeminal neuralgia: personal experience. Stereotact Funct Neurosurg 1990; 54-55:76-9
- 4. Mittal B, Thomas D. Controlled thermocoagulation in trigeminal neuralgia. J Neurol Neurosurg Psychiatry 1986;49(8):932-6
- 5. Madhusudan Reddy KR, Arivazhagan A, Chandramouli BA, Umamaheswara Rao GS. Multiple cranial nerve palsies following radiofrequency ablation for trigeminal neuralgia. Br J Neurosurg 2008;22(6):781-3
- 6. Savas A, Sayin M. Subarachnoid bleeding into the superior cerebellopontine cistern after radiofrequency trigeminal rhizotomy: case report. Acta Neurochir (Wien) 2010;152(3):561-2.
Öz
Kırk yaşındaki erkek hastada trigeminal radyofrekans rizotomi sonrası yaygın subaraknoid kanama gelişti. Hastada yaklaşık 10 yıldır süren, trigeminal sinir oftalmik ve maksiller dallarına uyar traselerde ağrı şikayeti vardı. İşlem sonrası hastanın ağrısı tamamen geçti ancak 1 saat sonra frontal bölgede şiddetli baş ağrısı oldu. Kraniyal bilgisayarlı tomografisinde yaygın subaraknoid kanama ve sol kavernöz sinüste hava dansitesi saptandı. Burada bu nadir komplikasyonun bilgisayarlı tomografi bulgularını sunmayı amaçladık.
Anahtar Kelimeler
Radyofrekans ablasyon subaraknoid kanama travmatik trigeminal nevralji
Kaynakça
- 1. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery 2001;48(4):524-32
- 2. Kurt E, Atım A. Interventional procedures for the treatment of headache and facial pain. Turkiye Klinikleri J Ear Nose Throat- Special Topics 2010;3(3):66-74
- 3. Meglio M, Cioni B, Moles A, Visocchi M. Microvascular decompression versus percutaneous procedures for typical trigeminal neuralgia: personal experience. Stereotact Funct Neurosurg 1990; 54-55:76-9
- 4. Mittal B, Thomas D. Controlled thermocoagulation in trigeminal neuralgia. J Neurol Neurosurg Psychiatry 1986;49(8):932-6
- 5. Madhusudan Reddy KR, Arivazhagan A, Chandramouli BA, Umamaheswara Rao GS. Multiple cranial nerve palsies following radiofrequency ablation for trigeminal neuralgia. Br J Neurosurg 2008;22(6):781-3
- 6. Savas A, Sayin M. Subarachnoid bleeding into the superior cerebellopontine cistern after radiofrequency trigeminal rhizotomy: case report. Acta Neurochir (Wien) 2010;152(3):561-2.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2012 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 18 Sayı: 2 |