{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,11,26]],"date-time":"2022-11-26T06:05:49Z","timestamp":1669442749770},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTentorial meningiomas (TM) are complex entities with distinguished clinical, radiological and surgical considerations. They comprise approximately 3 - 6% of all intracranial meningiomas1. TM have been classified in 5 subgroups according to the modified Yasargil\u2019s classification, based on their location 2 and 3. Those located at the free margin of the tentorium are still challenging for neurosurgeons, with high morbidity and mortality. Atypical trigeminal neuralgia (ATN) is a type of trigeminal neuralgia that is identified by the constancy of symptoms. They experience less intense pain, but a constant dull aching or burning pain, and it is frequently misdiagnosed. Although it is well known that typical trigeminal (TN) neuralgia responds very well to medical treatment and are related with posterior fossa tumors, ATN is less likely. In this video we demonstrate the microsurgical resection of group 1 tentorial meningioma in the treatment of atypical trigeminal neuralgia.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA previously healthy 63-year-old female came to our service complaining of long lasting, intermittent, right facial pain for two years. On neurological examination, the patient had hypoesthesia in the territory of maxillae (V2) branch of the right trigeminal nerve. She had no other complaints on the physical examination. Initial treatment with carbamazepine and pregabalin was performed, however, it could not be further increased because of the maximal doses and side effects. Radiological investigation was carried out with cranial computed tomography (CT) and magnetic resonance image (MRI), which showed a high signal density mass lesion in the free margin of the tentorium, with extension to the right cerebello pontine angle (CPA), compressing the trigeminal nerve, that exhibited homogeneous contrast enhancement, suggestive of tentorial meningioma. Given the size, the location of the mass, and no response to the medical treatment, microsurgical resection was performed.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe postoperative period was excellent, without any neurological deficit. The patient consented with publication of her images and videos.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_632_2022","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T06:30:49Z","timestamp":1669357849000},"page":"554","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of atypical trigeminal neuralgia secondary to tentorial meningioma: 2D video"],"prefix":"10.25259","volume":"13","author":[{"given":"Dan Zimelewicz","family":"Oberman","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Air Force Gale\u00e3o Hospital, Rio de Janeiro, Brazil,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Plou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvaro","family":"Campero","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Padilla de Tucuman, Tucuman, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo Marcelo","family":"Ajler","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"10.25259\/SNI_632_2022\/ref-1","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.surneu.2007.02.029","article-title":"Meningiomas of the falcotentorial junction: Selection of the surgical approach according to the tumor type","volume":"69","author":"Bassiouni","year":"2008","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_632_2022\/ref-2","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1007\/s007010050464","article-title":"Tentorial meningiomas. Report on twenty-seven cases","volume":"142","author":"Bret","year":"2000","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_632_2022\/ref-3","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1227\/01.NEU.0000088806.11659.D8","article-title":"A new classification for facial pain","volume":"53","author":"Burchiel","year":"2003","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_632_2022\/ref-4","doi-asserted-by":"crossref","first-page":"609056","DOI":"10.3389\/fonc.2020.609056","article-title":"Surgical management of tentorial notch meningioma guided by further classification: A consecutive study of 53 clinical cases","volume":"10","author":"Qin","year":"2020","journal-title":"Front Oncol"},{"key":"10.25259\/SNI_632_2022\/ref-5","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.3171\/JNS-07\/12\/1144","article-title":"Microvascular decompression for primary trigeminal neuralgia: Long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression","volume":"107","author":"Sindou","year":"2007","journal-title":"J Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/surgical-management-of-atypical-trigeminal-neuralgia-secondary-to-tentorial-meningioma-2d-video\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/surgical-management-of-atypical-trigeminal-neuralgia-secondary-to-tentorial-meningioma-2d-video\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T06:30:54Z","timestamp":1669357854000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/surgical-management-of-atypical-trigeminal-neuralgia-secondary-to-tentorial-meningioma-2d-video\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,25]]},"references-count":5,"alternative-id":["10.25259\/SNI_632_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_632_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,25]]},"article-number":"554"}}