What question did this study set out to answer?

To highlight the rare occurrence of trigeminal neuralgia stemming from vestibular schwannoma in an elderly patient.

May 25, 2026Indian Journal of Otology0 citations

Dual Nerve Compression in a Nonagenarian: A Case of Vestibular Schwannoma with Trigeminal Neuralgia

MDM Deivanayagi NCNarmadha Chandran MRMonisha Ramalingam

Key Points

To highlight the rare occurrence of trigeminal neuralgia stemming from vestibular schwannoma in an elderly patient.
Case report of a 92-year-old male with left jaw pain and progressive bilateral hearing loss.
Magnetic resonance imaging was utilized to diagnose a 2.4 cm × 2.3 cm × 1.7 cm lesion in the left cerebellopontine angle.
Emphasis on the need for awareness of tumor-related pain and prompt imaging.
Patient presented with left jaw pain triggered by shaving and mastication, alongside a year of hearing loss.
MRI confirmed a vestibular schwannoma with intracanalicular extension.
Findings underscore the importance of distinguishing CPA lesions from odontogenic pain in older adults.

Abstract

Abstract Vestibular schwannomas are benign cerebellopontine angle (CPA) tumors, most commonly manifesting with hearing loss, tinnitus, or vestibular symptoms. Trigeminal neuralgia (TN) due to vestibular schwannoma is rare, but has been increasingly recognized in case reports and systematic reviews. We report a 92-year-old male who presented with left jaw pain triggered by shaving, mastication, and light touch, along with a 1-year history of progressive bilateral hearing loss. Magnetic resonance imaging revealed a 2.4 cm × 2.3 cm × 1.7 cm extra-axial lesion in the left CPA with intracanalicular extension and canal widening, consistent with vestibular schwannoma. This case highlights that CPA lesions may masquerade as odontogenic or neuralgic pain, especially in the elderly. Awareness of tumor-related TN and prompt imaging can facilitate timely multidisciplinary management, integrating neurosurgical, radiosurgical, and symptomatic therapies.

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