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We present a case of isolated perineural spread of adenoid cystic carcinoma to the trigeminal nerve involving skull base foramina and Meckel's cave in the setting of chronic trigeminal neuropathy and no known prior malignancy. Computed tomography\u2010guided core (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) needle biopsy was needed to arrive at a diagnosis and a novel approach was required to obtain tissue from the trigeminal nerve lesion at foramen ovale.<\/jats:p>","DOI":"10.1111\/1754-9485.12557","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T03:18:42Z","timestamp":1478747922000},"page":"77-81","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Novel <scp>CT<\/scp>\u2010guided biopsy of isolated perineural spread of adenoid cystic carcinoma along the trigeminal nerve masquerading as chronic trigeminal neuropathy"],"prefix":"10.1111","volume":"61","author":[{"given":"Xian Zhang Eric","family":"Yong","sequence":"first","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital Melbourne Victoria Australia"},{"name":"Department of Interventional Radiology St Vincent's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Dillon","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St Vincent's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar","family":"Salinas\u2010La Rosa","sequence":"additional","affiliation":[{"name":"Department of Pathology St Vincent's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashu","family":"Jhamb","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital Melbourne Victoria Australia"},{"name":"Department of Interventional Radiology St Vincent's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2009.07.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.53.1.213"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1054\/ijom.2003.0448"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0360-3016(95)00122-F"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200006000-00011"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23953"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/2013.1.JNS12743"},{"key":"e_1_2_7_9_1","unstructured":"PickardJD.Advances and technical standards in neurosurgery. 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