Trigeminal neuralgia secondary to compression of giant quadrigeminal cistern arachnoid cyst in an adult: Case report and review of the literature


Benek H. B., YILMAZ H., TABANLI A., Akçay E., Yurt A.

Agri, cilt.37, sa.3, ss.175-178, 2025 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 3
  • Basım Tarihi: 2025
  • Doi Numarası: 10.14744/agri.2023.70845
  • Dergi Adı: Agri
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, MEDLINE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.175-178
  • Anahtar Kelimeler: Arachnoid cyst, ataxia, hydrocephalus, quadrigeminal cistern, trigeminal neuralgia
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

A quadrigeminal cistern arachnoid cyst is an extremely rare cause of trigeminal neuralgia in adulthood. This report presents the fourth case in the literature of trigeminal neuralgia caused by a giant quadrigeminal cistern arachnoid cyst. A 52-year-old woman presented with a 3-month history of cerebellar ataxia and vertigo. She had a 2-year history of trigeminal neuralgia that was unresponsive to medical therapy. Neuroimaging studies revealed a cystic lesion in the quadrigeminal cistern associated with hydrocephalic enlargement. Using an infratentorial supracerebellar approach, neuroendoscope-assisted decompression and fenestration of the cyst were performed. Postoperatively, the patient was pain-free and able to walk unaided without symptoms of ataxia.