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Journal of Neurosurgical Sciences 2002 March;46(1):32-4

lingua: Inglese

Trigeminal pal­sy ­caused by tri­ven­tric­u­lar hydro­ceph­a­lus. A ­case ­report

Nicoletti G. F., Platania N., Furnari N., Barbagallo G., Albanese V.

Institute of Neurosurgery, University of Catania, Catania


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A ­case of ­left tri­gem­i­nal pal­sy ­caused by tri­ven­tric­u­lar hydro­ceph­a­lus and com­plete­ly recov­ered ­after ven­tri­cu­lo per­i­to­neal ­shunt is report­ed. The ­case was stud­ied by MR ­before and ­after the oper­a­tion. Preoperative MR ­showed tri­ven­tric­u­lar hydro­ceph­a­lus ­with ­marked reduc­tion of the ­left Meckel’s ­cave. Following ven­tri­cu­lo per­i­to­neal ­shunt the ­patient ­showed a com­plete recov­ery of the ­left ­5th ­nerve pal­sy and NR ­showed the expan­sion of the ­left Meckel’s ­cave. The ­authors sug­gest ­that the tri­gem­i­nal pal­sy was due to intra­cra­ni­al hyper­ten­sion prob­ably asso­ciat­ed to a weak­ness of the lat­er­al ­wall of the ­left Meckel’s ­cave. No sim­i­lar ­case ­have ­been pre­vi­ous­ly report­ed in the lit­er­a­ture.

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