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Rzaev D.A.

Federal Neurosurgical Center, Novosibirsk, Russia

Kulikova E.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Moysak G.I.

Novosibirsk State University, Novosibirsk, Russia;
Federal Neurosurgical Center, Novosibirsk, Russia

Voronina E.I.

Regional Center of High Medical Technologies, Novosibirsk, Russia;
Novosibirsk State Medical University, Novosibirsk, Russia

Ageeva T.A.

Regional Center of High Medical Technologies, Novosibirsk, Russia;
Novosibirsk State Medical University, Novosibirsk, Russia

Teflon granuloma after microvascular decompression of the trigeminal nerve root in a patient with recurrent trigeminal neuralgia

Authors:

Rzaev D.A., Kulikova E.V., Moysak G.I., Voronina E.I., Ageeva T.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2016;80(2): 78‑83

DOI: 10.17116/neiro201680278-83

Views: 5721

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Table of contents

TEFLON GRANULOMA AFTER MICROVASCULAR DECOMPRESSION OF THE TRIGEMINAL NERVE ROOT IN A PATIENT WITH RECURRENT TRIGEMINAL NEURALGIA
TEFLON GRANULOMA AFTER MICROVASCULAR DECOMPRESSION OF THE TRIGEMINAL NERVE ROOT IN A PATIENT WITH RECURRENT TRIGEMINAL NEURALGIA

To cite this article:

Rzaev DA, Kulikova EV, Moysak GI, Voronina EI, Ageeva TA. Teflon granuloma after microvascular decompression of the trigeminal nerve root in a patient with recurrent trigeminal neuralgia. Burdenko's Journal of Neurosurgery. 2016;80(2):78‑83. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201680278-83

Подписка 2025-2 (Burdenko's Journal of Neurosurgery)
 
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The use of a Teflon implant for Jannetta surgery in patients with trigeminal neuralgia is complicated in rare cases by the development of a Teflon granuloma and can cause recurrent facial pain. The article presents a clinical case of a Teflon granuloma developed after microvascular decompression of the trigeminal nerve root, describes the surgical findings and histological picture, and analyzes the literature, causes of granuloma development, and recommendations for treatment of these patients.

Keywords:

trigeminal nerve
microvascular decompression
trigeminal neuralgia
Teflon granuloma

Authors:

Rzaev D.A.

Federal Neurosurgical Center, Novosibirsk, Russia

Kulikova E.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Moysak G.I.

Novosibirsk State University, Novosibirsk, Russia;
Federal Neurosurgical Center, Novosibirsk, Russia

Voronina E.I.

Regional Center of High Medical Technologies, Novosibirsk, Russia;
Novosibirsk State Medical University, Novosibirsk, Russia

Ageeva T.A.

Regional Center of High Medical Technologies, Novosibirsk, Russia;
Novosibirsk State Medical University, Novosibirsk, Russia

List of references:

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  2. Fujimaki T, Hoya K, Sasaki T, Kirino T. Recurrent trigeminal neuralgia caused by an inserted prosthesis: report of two cases. Acta Neurochir. 1996;138(11):1307-1309. doi: 10.1007/bf01411060
  3. Barker FG, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996;334(17):1077-1083. doi: 10.1056/nejm199604253341701
  4. Premsagar IC, Moss T, Coakham HB. Teflon-induced granuloma follow treatment of trigeminal neuralgia by microvascular decompression. Report of two cases. J Neurosurg. 1997;87(3):454-457. doi: 10.3171/jns.1997.87.3.0454
  5. Yeretsian RA, Blodgett TM, Branstetter BF, Robertsc MM, Meltzer CC. Teflon-Induced Granuloma: A False-Positive Finding with PET Resolved with Combined PET and CT. AJNR Am J Neuroradiol. 2003;24(6):1164-1166. doi: 10.1007/978-0-387-48902-5-18
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  7. Smucker P, Bonnin JM, Pritz MB. Teflon granuloma with midbrain cysts after microvascular decompression of the trigeminal nerve. Acta Neurochir (Wien). 2007;149(5):537-539. doi: 10.1007/s00701-007-1136-y
  8. Megerian CA, Busaba NY, McKenna MJ, Ojemann RG. Teflon granuloma presenting as an enlarging, gadolinium enhancing, posterior fossa mass with progressive hearing loss following microvascular decompression. American Journal of Otology. 1995;16(6):783-786.
  9. Parmar DN, Sharr MM. Cotton gauze foreign body granuloma following microvascular decompression. British Journal of Neurosurgery. 1999;13(1):87-89. doi: 10.1080/02688699944294
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  12. Kondo A. Follow-up results of microvascular decompression in trigeminal neuralgia and hemifacial spasm. Neurosurgery. 1997;40(1):46-51. doi: 10.1227/00006123-199701000-00009
  13. Zhang KW, Zhao YH, Shun ZT, Li P. Microvascular decompression by retrosigmoid approach for trigeminal neuralgia: experience in 200 patients. Ann Otol Rhinol Laryngol. 1990;99:129-130.
  14. Burchiel KJ, Clarke H, Haglund M, Loeser JD. Longterm efficacy of microvascular decompression in trigeminal neuralgia. J Neurosurg. 1988;69(1):35-38. doi: 10.3171/jns.1988.69.1.0035
  15. Cho DY, Chang CG, Wang YC, Wang FH, Shen CC, Yang DY. Repeat operations in failed microvascular decompression for trigeminal neuralgia. Neurosurgery. 1994;35(4):665-669. doi: 10.1097/00006123-199410000-00012
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  17. Chen J, Lee S, Lui T, Yeh Y, Chen T, Tzaan W. Teflon Granuloma after Microvascular Decompression for Trigeminal Neuralgia. Surg Neurol. 2000;53(3):281-287. doi: 10.1016/s0090-3019(00)00169-5 
  18. Amador N, Pollock BE. Repeat posterior fossa exploration for patients with persistent or recurrent idiopathic trigeminal neuralgia. Journal of Neurosurgery. 2008;108(5):916-920. doi: 10.3171/jns/2008/108/5/0916
  19. Rumboldt Z, Castillo M, Huang B, Rossi A. Brain Imaging with MRI and CT: An Image Pattern Approach. Cambridge University Press. 2012.
  20. Hacein-Bey L, Conneely MF, Hijaz TA, Leonetti J.P. Radiologic appearance of chronic parapharyngeal Teflon granuloma. American Journal of Otolaryngology. Head and Neck Medicine and Surgery. 2010;31(5):392-394. doi: 10.1016/j.amjoto.2009.05.003
  21. Dedo H, Carlsöö B. Histologic evaluation of Teflon granulomas of human vocal cords. A light and electron microscopic study. Acta Otolaryngol. 1982;93(5-6):475-484. doi: 10.3109/00016488209130907
  22. Rath SA, Klein HJ, Richter HP. Findings and long-term results of subsequent operations after failed microvascular decompression for trigeminal neuralgia. Neurosurgery. 1996;39(5):933-940. doi: 10.1227/00006123-199611000-00010

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