Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature

URKOGLU, Omer Faruk; KOMURCU, Hatice Ferhan; YILDIRIM, Ali Erdem; KAZANCI, Atilla; Gurcan, Oktay; Gurcay, Ahmet Gurhan; BESKONAKLI, Ethem

Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature

Oktay GÜRCAN, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Ahmet Gürhan GÜRÇAY, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Atilla KAZANCI, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Ali Erdem YILDIRIM, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Omer Faruk URKOGLU, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Hatice Ferhan KOMURCU, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Ethem BESKONAKLI (Medicana Ankara Hastanesi, Nöroşirürji, Bölümü, Ankara, Türkiye)

Turkish Neurosurgery

3 0

Yıl: 2016 Cilt: 26 Sayı: 1 Sayfa Aralığı: 180 - 183 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature

Öz:

Pituitary adenomas account for approximately 10% of intracranial tumors and 5% are locally invasive. Cavernous sinus invasion by pituitary tumors presents mostly with cranial nerve palsies, especially involving the third, fourth and sixth cranial nerves, which is well documented in the literature. However, an isolated complaint of trigeminal neuralgia due to pituitary adenoma is an extremely rare entity with a limited number of reported cases. A 51-year-old female patient presented to our clinic with complaints of pain and numbness on the left side of face for six months, with each event lasting 5-10 seconds. No improvement was obtained with administration of carbamazepine therapy. Magnetic resonance imaging of the sellar region revealed a mass with the left cavernous sinus invasion. The patient underwent surgery via endoscopic transsphenoidal approach and after than radiosurgery with gammaknife. The patient's complaints resolved totally after gamma-knife radiosurgery. We report herein a case of pituitary adenoma with an isolated complaint of trigeminal neuralgia. Pituitary adenomas may be presented with cavernous sinus invasion and multiple cranial nerve palsies but isolated trigeminal neuralgia due to pituitary adenoma is an extremely rare entity

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Ameli NO: Avicenna and trigeminal neuralgia. J Neurol Sci 2(2): 105-107, 1965
2. Bullitt E, Tew J M, Boyd J: Intracranial tumors in patients with facial pain. J Neurosurg 64:865-871, 1986
3. Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, Nurmikko T, Zakrzewska JM: AAN-EFNS guidelines on trigeminal neuralgia management. American Academy of Neurology Society; European Federation of Neurological Society. Eur J Neurol 15:1013-1028, 2008
4. Ferrari MD, Haan J, Van Seters AP: Bromocriptine-induced trigeminal neuralgia attacks in a patient with pituitary tumor. Neurology 38(9): 1482-1484, 1988
5. Friedman AH, Wilkins RH, Kenan PD, Olanow CW, Dubois PJ: Pituitary adenoma presenting as facial pain: Report of two cases and review of the literature. Neurosurgery 10: 742-745, 1982
6. Gabrielli M, Gasbarrini A, Fiore G, Santarelli L, Padalino C, De Martini D, Giacovazzo M, Pola P: Resolution of migraine with aura after successful treatment of a pituitary microadenoma. Cephalalgia 22: 149-150, 2002
7. Gazioglu N, Tanriover N, Tuzgen S: Pituitary tumour presen-ting with trigeminal neuralgia as an isolated symptom. Br J Neurosurg 14: 579, 2000
8. Gelabert Gonzalez M, Bollar Zabala A, Garcia Allut A: Trigeminal neuralgia as the first manifestation of craniopharyngioma. An Med Interna 7: 545, 1990
9. Grasso G, Passalacqua M, Giambartıno F, Cacciola F, Caruso G, Tomasello F: Typical trigeminal neuralgia by an atypical compression: Case report and review of the literature. Turk Neurosurg 24(1):82-85, 2014
10. Greenberg MS: Handbook of neurosurgery. In: Pituitary Adenoma, 6th ed. New York: Thieme Press, 2006: 438-456
11. Greve E, Mai J: Cluster headache-like headaches: A symptomatic feature? A report of three patients with intracranial pathologic findings. Cephalalgia 8:79-82, 1988
12. Headache Classification Subcommittee of the International Headache Society: The international classification of headache disorders: 2nd ed. Cephalalgia 24 Suppl 1: 9-16, 2004
13. Knosp E, Steiner E, Kitz K, Matula C: Pituitary adenomas with invasion of the cavernous space. Magnetic resonance imaging classification compared with surgical findings. Neurosurgery 33(4):610-618, 1993
14. Kumar S, Rastogi S, Kumar S, Mahendra P, Bansal M, Chandra L: Pain in trigeminal neuralgia: Neurophysiology and measurement: A comprehensive review. J Med Life 6(4): 383-388, 2013
15. Lee A, McCartney S, Burbidge C, Raslan AM, Burchiel KJ: Trigeminal neuralgia occurs and recurs in the absence of neurovascular compression. J Neurosurg 120:1048-1054, 2014
16. Lee AH: Pituitary adenoma causing classical migraine. Br J Neurosurg 4: 347-348, 1990
17. Leone M, Curone M, Mea E, Bussone G: Cluster-tic syndrome resolved by removal of pituitary adenoma: the first case. Cephalalgia 24: 1088-1089, 2004
18. Miles JL: The association of pituitary tumors and headache. Curr Neurol Neurosci Rep 11: 164-170, 2011
19. Millan-Guerrero RO, Isais-Cardenas MA: Headache associated with pituitary adenomas. Headache 39: 522-523, 1999
20. Porta-Etessam J, Ramos-Carrasco A, Berbel-Garcia A, MartínezSalio A, Benito-León J: Clusterlike headache as first manifestation of a prolactinoma. Headache 41:723-725, 2001
21. Tfelt-Hansen P, Paulson OB, Krabbe AA: Invasive adenoma of the pituitary gland and chronic migrainous neuralgia. A rare coincidence or a causal relationship? Cephalalgia 2:25-28, 1982
22. Vieira JO Jr, Cukiert A, Liberman B: Magnetic resonance imaging of cavernous sinus invasion by pituitary adenoma. Diagnostic criteria and surgical findings. Arq Neuropsiquiatr 62(2-B):437-443, 2004
23. Williams G, Ball JA, Lawson RA, Joplin GF, Bloom SR, Maskill MR: Analgesic effect of somatostatin analogue (octreotide) in headache associated with pituitary tumours. Br Med J (Clin Res Ed) 295:247-248, 1987
24. Wilson CB, Tyrell JB, Fitzgerald PA: Neurosurgical management of large and invasive pituitary tumors. In: Thindall GT, Collins WF (eds). Clinical Management of Pituitary Disorders. New York: Raven Pres, 1979:335-342

APA	Gurcan O, Gurcay A, KAZANCI A, YILDIRIM A, URKOGLU O, KOMURCU H, BESKONAKLI E (2016). Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. , 180 - 183.
Chicago	Gurcan Oktay,Gurcay Ahmet Gurhan,KAZANCI Atilla,YILDIRIM Ali Erdem,URKOGLU Omer Faruk,KOMURCU Hatice Ferhan,BESKONAKLI Ethem Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. (2016): 180 - 183.
MLA	Gurcan Oktay,Gurcay Ahmet Gurhan,KAZANCI Atilla,YILDIRIM Ali Erdem,URKOGLU Omer Faruk,KOMURCU Hatice Ferhan,BESKONAKLI Ethem Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. , 2016, ss.180 - 183.
AMA	Gurcan O,Gurcay A,KAZANCI A,YILDIRIM A,URKOGLU O,KOMURCU H,BESKONAKLI E Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. . 2016; 180 - 183.
Vancouver	Gurcan O,Gurcay A,KAZANCI A,YILDIRIM A,URKOGLU O,KOMURCU H,BESKONAKLI E Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. . 2016; 180 - 183.
IEEE	Gurcan O,Gurcay A,KAZANCI A,YILDIRIM A,URKOGLU O,KOMURCU H,BESKONAKLI E "Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature." , ss.180 - 183, 2016.
ISNAD	Gurcan, Oktay vd. "Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature". (2016), 180-183.

APA	Gurcan O, Gurcay A, KAZANCI A, YILDIRIM A, URKOGLU O, KOMURCU H, BESKONAKLI E (2016). Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. Turkish Neurosurgery, 26(1), 180 - 183.
Chicago	Gurcan Oktay,Gurcay Ahmet Gurhan,KAZANCI Atilla,YILDIRIM Ali Erdem,URKOGLU Omer Faruk,KOMURCU Hatice Ferhan,BESKONAKLI Ethem Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. Turkish Neurosurgery 26, no.1 (2016): 180 - 183.
MLA	Gurcan Oktay,Gurcay Ahmet Gurhan,KAZANCI Atilla,YILDIRIM Ali Erdem,URKOGLU Omer Faruk,KOMURCU Hatice Ferhan,BESKONAKLI Ethem Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. Turkish Neurosurgery, vol.26, no.1, 2016, ss.180 - 183.
AMA	Gurcan O,Gurcay A,KAZANCI A,YILDIRIM A,URKOGLU O,KOMURCU H,BESKONAKLI E Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. Turkish Neurosurgery. 2016; 26(1): 180 - 183.
Vancouver	Gurcan O,Gurcay A,KAZANCI A,YILDIRIM A,URKOGLU O,KOMURCU H,BESKONAKLI E Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature. Turkish Neurosurgery. 2016; 26(1): 180 - 183.
IEEE	Gurcan O,Gurcay A,KAZANCI A,YILDIRIM A,URKOGLU O,KOMURCU H,BESKONAKLI E "Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature." Turkish Neurosurgery, 26, ss.180 - 183, 2016.
ISNAD	Gurcan, Oktay vd. "Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature". Turkish Neurosurgery 26/1 (2016), 180-183.