{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:33:54Z","timestamp":1769729634735,"version":"3.49.0"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"19","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,11,4]]},"abstract":"\n BACKGROUND<\/jats:title>\n Trigeminal neuralgia (TNa), or tic douloureux, is characterized by severe facial pain triggered by everyday activities. Recurring and intense TNa pain results from localized demyelination within the affected nerve segment. The primary cause of TNa is typically vascular compression, with the superior cerebellar artery being the most common vessel. Tumors, multiple sclerosis, and infectious diseases such as herpes are less frequent causes of TNa.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors present a unique case in which TNa was caused by an aberrant mass resembling a schwannoma during surgery. However, histological examination revealed heterotopic benign central nervous neurons and myelinated axons, which could represent a choristoma in the cisternal segment of the portio major of the trigeminal nerve. Following surgery, the patient\u2019s TNa was completely resolved.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n To the best of the authors\u2019 knowledge, this is the first documented case of a central nervous tissue choristoma causing TNa and responding positively to surgical intervention, aside from one previous report that did not specifically use the term \u201cchoristoma\u201d in identifying the lesion. This case highlights the challenges involved in diagnosing and managing a rare TNa presentation, with a particular focus on pathology findings. It underscores the potential role of surgery for patients whose condition is resistant to medical intervention.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24384<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24384","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T01:45:36Z","timestamp":1730684736000},"source":"Crossref","is-referenced-by-count":0,"title":["A unique presentation of trigeminal neuralgia related to a central nervous tissue choristoma along the trigeminal nerve root: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Cagdas","family":"Ataoglu","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Erginoglu","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serhat","family":"Aydin","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Sapanci","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahriar","family":"Salamat","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"},{"name":"Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa K","family":"Baskaya","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin\u2013Madison, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"2","key":"bib1","series-title":"Acta Med Acad","first-page":"292","article-title":"Trigeminal neuralgia and potential correlations with anatomical variations of the trigeminal nerve","volume":"50","author":"Alwardian","year":"2021","unstructured":"Alwardian MChrysikos DSamolis A, et al. Trigeminal neuralgia and potential correlations with anatomical variations of the trigeminal nerve. Acta Med Acad. 2021;50(2):292-299."},{"issue":"6","key":"bib2","series-title":"Surg Neurol","first-page":"564","article-title":"The trigeminal nerve and ganglion: an anatomical, histological, and radiological study addressing the transtrigeminal approach","volume":"61","author":"Ziyal","year":"2004","unstructured":"Ziyal IMSekhar LN\u00d6zgen TS\u00f6ylemezo\u011flu FAlper MBe\u015fer M. The trigeminal nerve and ganglion: an anatomical, histological, and radiological study addressing the transtrigeminal approach. Surg Neurol. 2004;61(6):564-573."},{"issue":"1","key":"bib3","series-title":"J Med Case Rep","first-page":"256","article-title":"Trigeminal neuralgia associated with ophthalmic surgery: a case series","volume":"12","author":"Lucena","year":"2018","unstructured":"Lucena MDPFurno Sola FTorres Soriano MEGerster FA. Trigeminal neuralgia associated with ophthalmic surgery: a case series. J Med Case Rep. 2018;12(1):256."},{"key":"bib4","series-title":"World Neurosurg","first-page":"687.e7","article-title":"Trigeminal neuralgia attributable to intraneural trigeminocerebellar artery: case report and review of the literature","volume":"88","author":"Jito","year":"2016","unstructured":"Jito JNozaki K. Trigeminal neuralgia attributable to intraneural trigeminocerebellar artery: case report and review of the literature. World Neurosurg. 2016;88:687.e7-687.e11."},{"issue":"1","key":"bib5","series-title":"Neurol Med Chir (Tokyo)","first-page":"101","article-title":"Trigeminal neuralgia in a patient with Marfan syndrome: case report","volume":"55","author":"Sakakura","year":"2015","unstructured":"Sakakura KAkutsu HYamamoto TMasuda YIshikawa EMatsumura A. Trigeminal neuralgia in a patient with Marfan syndrome: case report. 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AJNR Am J Neuroradiol. 1997;18(2):327-329."},{"issue":"5","key":"bib17","series-title":"ORL J Otorhinolaryngol Relat Spec","first-page":"246","article-title":"Neuromuscular choristoma of the internal auditory meatus","volume":"74","author":"Nikolaou","year":"2012","unstructured":"Nikolaou GR\u00f6\u00f6sli CHuber AProbst R. Neuromuscular choristoma of the internal auditory meatus. ORL J Otorhinolaryngol Relat Spec. 2012;74(5):246-249."},{"issue":"5","key":"bib18","series-title":"J Neurosurg","first-page":"788","article-title":"Choristoma of the intracranial maxillary nerve in a child. Case report","volume":"81","author":"Lena","year":"1994","unstructured":"Lena GDufour TGambarelli DChabrol BMancini J. Choristoma of the intracranial maxillary nerve in a child. Case report. J Neurosurg. 1994;81(5):788-791."},{"issue":"4","key":"bib19","series-title":"Hum Pathol","first-page":"390","article-title":"Intracranial trigeminal nerve rhabdomyoma\/choristoma in a child: a case report and discussion of possible histogenesis","volume":"20","author":"Zwick","year":"1989","unstructured":"Zwick DLLivingston KClapp LKosnik EYates A. Intracranial trigeminal nerve rhabdomyoma\/choristoma in a child: a case report and discussion of possible histogenesis. Hum Pathol. 1989;20(4):390-392."},{"issue":"4","key":"bib20","series-title":"J Neurosurg","first-page":"1063","article-title":"Ectopic brain tissue in the trigeminal nerve presenting as rapid-onset trigeminal neuralgia: case report","volume":"129","author":"Zimering","year":"2018","unstructured":"Zimering JHStone JJPaulzak AMarkman JDJohnson MDVates GE. Ectopic brain tissue in the trigeminal nerve presenting as rapid-onset trigeminal neuralgia: case report. 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Pediatr Neurosurg. 2008;44(4):318-323."},{"issue":"2","key":"bib1","series-title":"Acta Med Acad","first-page":"292","article-title":"Trigeminal neuralgia and potential correlations with anatomical variations of the trigeminal nerve","volume":"50","author":"Alwardian","year":"2021","unstructured":"Alwardian MChrysikos DSamolis A, et al. Trigeminal neuralgia and potential correlations with anatomical variations of the trigeminal nerve. Acta Med Acad. 2021;50(2):292-299."},{"issue":"6","key":"bib2","series-title":"Surg Neurol","first-page":"564","article-title":"The trigeminal nerve and ganglion: an anatomical, histological, and radiological study addressing the transtrigeminal approach","volume":"61","author":"Ziyal","year":"2004","unstructured":"Ziyal IMSekhar LN\u00d6zgen TS\u00f6ylemezo\u011flu FAlper MBe\u015fer M. The trigeminal nerve and ganglion: an anatomical, histological, and radiological study addressing the transtrigeminal approach. Surg Neurol. 2004;61(6):564-573."},{"issue":"1","key":"bib3","series-title":"J Med Case Rep","first-page":"256","article-title":"Trigeminal neuralgia associated with ophthalmic surgery: a case series","volume":"12","author":"Lucena","year":"2018","unstructured":"Lucena MDPFurno Sola FTorres Soriano MEGerster FA. Trigeminal neuralgia associated with ophthalmic surgery: a case series. J Med Case Rep. 2018;12(1):256."},{"key":"bib4","series-title":"World Neurosurg","first-page":"687.e7","article-title":"Trigeminal neuralgia attributable to intraneural trigeminocerebellar artery: case report and review of the literature","volume":"88","author":"Jito","year":"2016","unstructured":"Jito JNozaki K. Trigeminal neuralgia attributable to intraneural trigeminocerebellar artery: case report and review of the literature. World Neurosurg. 2016;88:687.e7-687.e11."},{"issue":"1","key":"bib5","series-title":"Neurol Med Chir (Tokyo)","first-page":"101","article-title":"Trigeminal neuralgia in a patient with Marfan syndrome: case report","volume":"55","author":"Sakakura","year":"2015","unstructured":"Sakakura KAkutsu HYamamoto TMasuda YIshikawa EMatsumura A. Trigeminal neuralgia in a patient with Marfan syndrome: case report. Neurol Med Chir (Tokyo). 2015;55(1):101-105."},{"key":"bib6","series-title":"World Neurosurg","first-page":"360","article-title":"Trigeminal neuralgia caused by vascular compression from the petrous carotid artery with bony erosion and Meckel cave encephalocele: clinical imaging with surgical video","volume":"145","author":"Erginoglu","year":"2021","unstructured":"Erginoglu USayyahmelli SBaskaya MK. Trigeminal neuralgia caused by vascular compression from the petrous carotid artery with bony erosion and Meckel cave encephalocele: clinical imaging with surgical video. 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Neurology. 2016;87(2):220-228."},{"issue":"21","key":"bib9","series-title":"J Neurosurg Case Lessons","first-page":"CASE23127","article-title":"Trigeminal neuralgia secondary to vascular compression and neurocysticercosis: illustrative case","volume":"5","author":"V\u00e1squez","year":"2023","unstructured":"V\u00e1squez MSaavedra LJGarc\u00eda HH, et al. Trigeminal neuralgia secondary to vascular compression and neurocysticercosis: illustrative case. J Neurosurg Case Lessons. 2023;5(21):CASE23127."},{"issue":"2","key":"bib10","series-title":"Case Rep Neurol","first-page":"167","article-title":"Case report: trigeminal neuralgia caused by a minute meningioma with hyperostosed suprameatal tubercle","volume":"7","author":"Ishi","year":"2015","unstructured":"Ishi YAsaoka KSugiyama T, et al. Case report: trigeminal neuralgia caused by a minute meningioma with hyperostosed suprameatal tubercle. 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World Neurosurg. 2014;81(5-6):842.e1-842.e4."},{"issue":"4","key":"bib15","series-title":"Neuropathology","first-page":"341","article-title":"Intracranial neuromuscular choristoma: report of a case with literature review","volume":"37","author":"Coli","year":"2017","unstructured":"Coli ANovello MTamburrini GAntonelli MGiangaspero FLauriola L. Intracranial neuromuscular choristoma: report of a case with literature review. Neuropathology. 2017;37(4):341-345."},{"issue":"2","key":"bib16","series-title":"AJNR Am J Neuroradiol","first-page":"327","article-title":"Choristomas of the seventh and eighth cranial nerves","volume":"18","author":"Smith","year":"1997","unstructured":"Smith MMThompson JEThomas D, et al. Choristomas of the seventh and eighth cranial nerves. 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J Neurosurg. 1994;81(5):788-791."},{"issue":"4","key":"bib19","series-title":"Hum Pathol","first-page":"390","article-title":"Intracranial trigeminal nerve rhabdomyoma\/choristoma in a child: a case report and discussion of possible histogenesis","volume":"20","author":"Zwick","year":"1989","unstructured":"Zwick DLLivingston KClapp LKosnik EYates A. Intracranial trigeminal nerve rhabdomyoma\/choristoma in a child: a case report and discussion of possible histogenesis. Hum Pathol. 1989;20(4):390-392."},{"issue":"4","key":"bib20","series-title":"J Neurosurg","first-page":"1063","article-title":"Ectopic brain tissue in the trigeminal nerve presenting as rapid-onset trigeminal neuralgia: case report","volume":"129","author":"Zimering","year":"2018","unstructured":"Zimering JHStone JJPaulzak AMarkman JDJohnson MDVates GE. Ectopic brain tissue in the trigeminal nerve presenting as rapid-onset trigeminal neuralgia: case report. 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