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Journal of Korean Neurosurgical Society > Volume 21(4); 1992 > Article
Journal of Korean Neurosurgical Society 1992;21(4): 442-448.
A Case of Epidermoid Cyst with Intractable Trigeminal Neuralgia.
Jeong Nan Cho, Seong Ho Kim, Kwan Tae Kim, Youn Kim
Department of Neurosurgery, College of Medicine, Chung-Nam National University, Daejeon, Korea.
The authors report a cases of the epidermoid cyst which manifested neuralgia on the 2nd and 3rd brances of the trigeminal nerve. The tumor was located in the cerebelloponitine angle, Lt. The cyst content and tumor capsule surrounding the trigeminal nerve were removed. After surgery, the chief complaint disappeared and other complications were absent. In the patient, the computed tomography scan demonstrated a hypodense tumor not enhanced by contrast material. With magnetic resonance imaging, the tumor showed a intermediate signal intensity between the brain and CSF on the T1-seighted image and an increased signal intensity relative to brain CSF on T2-weighted image. In the patient with trigeminal pain, we have to evaluate the causes of the pain radiologically.
Key Words: Epidermoid cyst; Trigeminal pain; Computed tomography; Magnetic resonance imaging
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