Trigeminal Neuralgia in the Context of an Undetectable Meckel’s Cave: Case Report and MRI Findings

Authors

  • Jacob Schroeder Roy J. and Lucille A. Carver College of Medicine, Iowa City, USA
  • Jack Kademian Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA
  • Leonardo Freitas Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA
  • Nitesh Shekhrajka Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA

DOI:

https://doi.org/10.3941/jrcr.5384

Abstract

Trigeminal neuralgia is a painful mononeuropathy most commonly caused by neurovascular conflict or structural lesion which can frequently be identified on magnetic resonance imaging of the brain. In this case report we describe the presentation and imaging findings of a 29-year-old woman with right-sided trigeminal neuralgia with ipsilateral absence or undetectable Meckel’s cave without any other identifiable cause of symptoms on her magnetic resonance imaging.

FINDINGS: Axial 3D SPACE sequence through pons demonstrates non visualization the right Meckel’s Cave (blue arrow) and a normal left Meckel’s cave (yellow arrow).

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Published

2024-06-30

Issue

Section

Neuroradiology