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Multiple Sclerosis
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Article

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

Anna Pichiecchio1*, Roberto Bergamaschi2, E Tavazzi2, A Romani2, A Todeschini3, S Bastianello1

1 Neuroradiology Unit, Neurological Institute IRCCS 'Fondazione C. Mondino', 27100 Pavia, Italy
2 Multiple Sclerosis Centre, Neurological Institute IRCCS 'Fondazione C. Mondino', 27100 Pavia, Italy
3 Neuroradiology Department, Policlinico di Modena, 41100 Modena, Italy

* To whom correspondence should be addressed.


  Abstract

We report on clinical and instrumental findings of a multiple sclerosis (MS) patient with sudden right trigeminal 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).

Key Words: magnetic resonance imaging, multiple sclerosis, trigeminal enhancement, trigeminal neuralgia

First published on March 15, 2007, doi:10.1177/1352458506075261

Multiple Sclerosis 2007;13:814.

A more recent version of this article appeared on July 1, 2007

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This article has been cited by other articles:


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 Mult SclerHome page
R. Cordella, A. Franzini, L. La Mantia, C. Marras, A. Erbetta, and G. Broggi
Hypothalamic stimulation for trigeminal neuralgia in multiple sclerosis patients: efficacy on the paroxysmal ophthalmic pain
Multiple Sclerosis, November 1, 2009; 15(11): 1322 - 1328.
[Abstract] [PDF]


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