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Trigeminal Neuropathy:Gd-DTPA Enhanced MR Imaging
J Comput Assist Tomogr 15:605-611, Sevick,R.J.,et al, 1991
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Article Abstract
A review of 17 patients with Gd-DTPA enhancing lesions of the trigeminal nerve(6 patients with benign tumors,4 with inflammatory disease,7 with malignant tumors)was conducted to determine if contrast enhanced MR imaging is superior to nonenhanced imaging and to identify imaging characteristics that aid in separating benign and malignant disease. Contrast enhanced imaging appears to be superior to nonenhanced imaging in patients with intrinsic fifth nerve lesions.Malignant lesions are suggested by enlarged,enhancing fifth nerves with irregular margins and benign lesions by minimal or no enlargement with smooth margins.Overlap of imaging findings between benign and malignant disease strongly suggest that follow-up imaging and clinical findings are of utmost importance. Gadolinium-enhanced MR imaging of the fifth nerve is recommended in patients with trigeminal sensory or motor deficits as well as those with atypical trigeminal neuralgia.
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cranial nerve tumor
gadolinium
MRI
MRI,abnormal
MRI,contrast enhanced
trigeminal nerve
trigeminal nerve,lesion of
trigeminal neuralgia
trigeminal neuropathy
trigeminal neuropathy,differential diagnosis of
trigeminal neuropathy,motor
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