Frontiers in Surgery (Jul 2022)

Case report: Teflon granuloma following microvascular decompression manifesting as light-triggered trigeminal neuralgia

  • Mustaqim Prasetya,
  • Peter Adidharma,
  • Takuro Inoue,
  • Adi Sulistyanto,
  • Fadhil,
  • Selfy Oswari,
  • Ryan Rhiveldi Keswani,
  • Muhammad Kusdiansah,
  • Yunus Kuntawi Aji,
  • Abrar Arham

DOI
https://doi.org/10.3389/fsurg.2022.904434
Journal volume & issue
Vol. 9

Abstract

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Trigeminal Neuralgia is commonly triggered by stimuli in the area of the trigeminal nerve innervation. We report an exceptionally rare case of a 61-year-old woman who complained of recurrent trigeminal neuralgia, which sole trigger was seeing a bright light. Teflon felt that was placed on the nerve root in the initial surgery was suspected of causing this rare type of trigeminal neuralgia. A reflex circuit linking luminance to trigeminal nerve activity may be implicated in activating a trigeminal nociceptive pathway by a bright light trigger.

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