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Papers of the Week

2021 Jan 29

Clin Neurol Neurosurg


Microsurgical resection of petroclival meningiomas treated with stereotactic radiosurgery to address persistent post-treatment trigeminal pain.


Muhsen B'eddinA, Ali AM, Jain A, Ibrahim B, Nagera E, Borghei-Razavi H, Adada B
Clin Neurol Neurosurg. 2021 Jan 29; 202:106533.
PMID: 33548878.


Petroclival meningiomas (PCM) are challenging tumors to manage. Observation, Stereotactic radiosurgery (SRS) and surgical resection have typically been offered as treatment options. A percentage of patients with PCMs present with trigeminal pain. We present four patients with small PCMs presenting with Trigeminal neuralgia (TN) that were treated with radiosurgery and continued to have debilitating trigeminal pain afterwards. All of them underwent microsurgical resection (MR) of their tumor to manage their trigeminal pain.