{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:48:29Z","timestamp":1792176509675,"version":"4.4.0"},"reference-count":21,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:p>\u2713The authors present the case of a 52-year-old female patient with a 6-year history of intractable paroxysmal otalgia. Preoperative magnetic resonance (MR) angiography demonstrated an anterior inferior cerebellar artery loop compressing the intermediate nerve in the seventh\/eighth cranial nerve complex inside the internal auditory canal. The pain resolved completely after a microvascular decompression via a retromastoid craniotomy. To the best of the authors' knowledge, the combined neuroimaging and intraoperative findings of this case provide a unique demonstration that vascular compression of the intermediate nerve can be the exclusive cause of paroxysmal otalgia. Magnetic resonance imaging and MR angiography can establish the causative mechanism and distinguish this otalgia due to vascular compression of the intermediate nerve from other pain syndromes that are designated as geniculate neuralgia (GN). The present case indicates that intermediate nerve neuralgia is a distinct syndrome of neurovascular conflict and a variant of GN. The causative classification of GN should be reexamined with the use of advanced MR imaging.<\/jats:p>","DOI":"10.3171\/jns-07\/12\/1228","type":"journal-article","created":{"date-parts":[[2007,12,13]],"date-time":"2007-12-13T18:51:54Z","timestamp":1197571914000},"page":"1228-1230","source":"Crossref","is-referenced-by-count":24,"title":["Paroxysmal otalgia due to compression of the intermediate nerve: a distinct syndrome of neurovascular conflict confirmed by neuroimaging"],"prefix":"10.3171","volume":"107","author":[{"given":"Damianos E.","family":"Sakas","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis G.","family":"Panourias","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Stranjalis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria P.","family":"Stefanatou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikos","family":"Maratheftis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikos","family":"Bontozoglou","sequence":"additional","affiliation":[{"name":"Department of Magnetic Resonance Imaging, Iatrikon Medical Center, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-1071228","series-title":"JAMA","first-page":"2144","article-title":"True tic douloureux of the sensory filaments of the facial nerve","volume":"53","author":"Clark","year":"1909"},{"key":"b2-1071228","series-title":"Headache","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1046\/j.1526-4610.2002.02188.x","article-title":"Geniculate neuralgia as a manifestation of neuroborelliosis","volume":"42","author":"Frese","year":"2002"},{"key":"b3-1071228","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1001\/jama.1942.02830200023006","article-title":"Tic douloureux of the nervus intermedius (so-called idiopathic geniculate neuralgia)","volume":"119","author":"Furlow","year":"1942"},{"key":"b4-1071228","series-title":"Acta Neurochir Suppl","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/978-3-211-33081-4_12","article-title":"Neuromodulatory approaches to the treatment of trigeminal autonomic cephalalgias (TACs)","volume":"97","author":"Goadsby","year":"2007"},{"key":"b5-1071228","series-title":"Arch Neurol Psychiatry","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1001\/archneurpsyc.1937.02260140039003","article-title":"Geniculate neuralgia (neuralgia of the nervus facialis). 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