Table 1.
Summary of Various Approaches Described for Meckel's Cave Epidermoid Tumor
| Author | Site of Lesion | Symptoms | Approach | Outcome |
|---|---|---|---|---|
| TSER, trigeminal sensory-evoked response; TN, trigeminal neuralgia. | ||||
| Beck and Menezes2 | Left Meckel's cave | V, VIII involvement and partial VII nerve palsy | Temporal craniotomy & subtemporal intradural approach | Residual V, VIII nerve symptoms |
| Miyazawa et al3 | Left Meckel's cave | V and VI nerve palsy | Subtemporal intradural approach & resection using TSER | Reduced facial numbness and diplopia |
| Ohta H et al14 | Right Meckel's cave | III and V nerve palsy | Orbitozygomatic approach | Improvement in III and V nerve symptoms |
| Nadkarni et al4 | Right Meckel's cave | Facial numbness, tingling | Subtemporal interdural | Relief from trigeminal sensory symptoms |
| Present case | Left Meckel's cave | TN | Subtemporal extradural approach to petrous apex using neuronavigation | Relief from TN, but minimal V3 numbness |