Bilateral trigeminal enhancement on magnetic resonance imaging in a patient with multiple sclerosis and trigeminal neuralgia

Anna Pichiecchio, R. Bergamaschi, E. Tavazzi, A. Romani, A. Todeschini, S. Bastianello

Research output: Contribution to journalArticlepeer-review

Abstract

We report on clinical and instrumental findings of a multiple sclerosis (MS) patient with sudden right trigerninal neuralgia (TN). Magnetic resonance imaging (MRI), performed at TN onset, showed enlargement of both trigeminal nerves (TrN) at,the root entry zone, with gadolinium enhancement of the cisternal portion. This is the first description of clinical and MRI findings indicative of peripheral involvement of the fifth cranial nerve in a MS patient complaining of TN. Our report shows the concomitant involvement of central and peripheral myelin in MS, and adds further highlights to the question regarding peripheral nerve involvement abnormalities associated with a disease considered limited to the central nervous system (CNS).

Original languageEnglish
Pages (from-to)814-816
Number of pages3
JournalMultiple Sclerosis Journal
Volume13
Issue number6
DOIs
Publication statusPublished - Jul 2007

Keywords

  • Magnetic resonance imaging
  • Multiple sclerosis
  • Trigeminal enhancement
  • Trigeminal neuralgia

ASJC Scopus subject areas

  • Clinical Neurology

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