{"id":"https://openalex.org/W7214644142","doi":"https://doi.org/10.7759/cureus.117075","title":"Atypical Presentation of a Meningioma Masquerading as Trigeminal Neuralgia: A Diagnostic Challenge in the Emergency Department","display_name":"Atypical Presentation of a Meningioma Masquerading as Trigeminal Neuralgia: A Diagnostic Challenge in the Emergency Department","publication_year":2026,"publication_date":"2026-09-28","ids":{"openalex":"https://openalex.org/W7214644142","doi":"https://doi.org/10.7759/cureus.117075","pmid":"https://pubmed.ncbi.nlm.nih.gov/42953680","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13714949"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117075","doi":"https://doi.org/10.7759/cureus.117075","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117075","pdf_url":"https://www.cureus.com/articles/531449-atypical-presentation-of-a-meningioma-masquerading-as-trigeminal-neuralgia-a-diagnostic-challenge-in-the-emergency-department.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/531449-atypical-presentation-of-a-meningioma-masquerading-as-trigeminal-neuralgia-a-diagnostic-challenge-in-the-emergency-department.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056961770","display_name":"Muntaha Naeem","orcid":"https://orcid.org/0000-0001-5279-8331","observed_orcids":["https://orcid.org/0000-0001-5279-8331"]},"institutions":[{"id":"https://openalex.org/I263303288","display_name":"Basildon and Thurrock University Hospitals NHS Foundation Trust","ror":"https://ror.org/01qbm4443","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I263303288"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Muntaha Naeem","raw_affiliation_strings":["Emergency Medicine, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, GBR","institution_ids":["https://openalex.org/I263303288"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5123023291","display_name":"Alisha Shania Mohammed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802466933","display_name":"Cambridge University Hospitals NHS Foundation Trust","ror":"https://ror.org/04v54gj93","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802466933"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Alisha S Mohammed","raw_affiliation_strings":["Geriatrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geriatrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR","institution_ids":["https://openalex.org/I2802466933"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5056961770"],"corresponding_institution_ids":["https://openalex.org/I263303288"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.70281217,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e117075","last_page":"e117075"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12193","display_name":"Trigeminal Neuralgia and Treatments","score":0.01720000058412552,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10498","display_name":"Migraine and Headache Studies","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/meningioma","display_name":"meningioma","score":0.9440000057220459},{"id":"https://openalex.org/keywords/trigeminal-neuralgia","display_name":"trigeminal neuralgia","score":0.9829999804496765},{"id":"https://openalex.org/keywords/atypical-presentation","display_name":"atypical presentation","score":0.7870000004768372},{"id":"https://openalex.org/keywords/sphenoid-wing-meningioma","display_name":"sphenoid wing meningioma","score":0.8109999895095825},{"id":"https://openalex.org/keywords/cerebellopontine-angle-meningioma","display_name":"cerebellopontine angle meningioma","score":0.9580000042915344},{"id":"https://openalex.org/keywords/proptosis","display_name":"proptosis","score":0.8610000014305115},{"id":"https://openalex.org/keywords/diplopia","display_name":"diplopia","score":0.9860000014305115},{"id":"https://openalex.org/keywords/optic-nerve-compression","display_name":"optic nerve compression","score":0.7310000061988831},{"id":"https://openalex.org/keywords/facial-pain","display_name":"facial pain","score":0.5619999766349792},{"id":"https://openalex.org/keywords/neuroimaging","display_name":"neuroimaging","score":0.5630000233650208},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.5839999914169312},{"id":"https://openalex.org/keywords/surgical-resection","display_name":"surgical resection","score":0.5960000157356262}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9858999848365784},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8830000162124634},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.7910000085830688},{"id":"https://openalex.org/C2779160599","wikidata":"https://www.wikidata.org/wiki/Q369157","display_name":"Meningioma","level":2,"score":0.6987000107765198},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.47510001063346863},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.38280001282691956},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.29510000348091125},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2865000069141388},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2728999853134155},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.26019999384880066},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.25060001015663147}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117075","doi":"https://doi.org/10.7759/cureus.117075","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117075","pdf_url":"https://www.cureus.com/articles/531449-atypical-presentation-of-a-meningioma-masquerading-as-trigeminal-neuralgia-a-diagnostic-challenge-in-the-emergency-department.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13714949","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714949/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714949/pdf/cureus-0018-00000117075.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42953680","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42953680","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.117075","doi":"https://doi.org/10.7759/cureus.117075","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117075","pdf_url":"https://www.cureus.com/articles/531449-atypical-presentation-of-a-meningioma-masquerading-as-trigeminal-neuralgia-a-diagnostic-challenge-in-the-emergency-department.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214644142.pdf","grobid_xml":"https://content.openalex.org/works/W7214644142.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1904090906","https://openalex.org/W1987245530","https://openalex.org/W2026634740","https://openalex.org/W2421930807","https://openalex.org/W2572462304","https://openalex.org/W2801085490","https://openalex.org/W2922242162","https://openalex.org/W2998325465","https://openalex.org/W3174246647","https://openalex.org/W4385602792"],"related_works":["https://openalex.org/W7214763537","https://openalex.org/W2414242319","https://openalex.org/W4206729064","https://openalex.org/W2175499130","https://openalex.org/W2018240952","https://openalex.org/W4282915428","https://openalex.org/W53724549","https://openalex.org/W7165137309","https://openalex.org/W2043853664","https://openalex.org/W2088617068"],"abstract_inverted_index":{"A":[0],"woman":[1],"in":[2,204],"her":[3],"mid-40s":[4],"presented":[5],"to":[6,212,226],"the":[7,20,48,58,83,92,116,121,144,158,179,195],"Emergency":[8],"Department":[9],"(ED)":[10],"following":[11],"a":[12,38,124,138,185,227],"sudden":[13],"new-onset":[14],"threehour":[15],"episode":[16],"of":[17,40,44,91,120,130,157,178,197,210,216,234],"numbness":[18],"over":[19,82],"left":[21,69,84,102,117,145,159],"maxilla":[22],"and":[23,34,66,75,87,99,148,155,201,230],"jaw,":[24],"followed":[25],"by":[26,32],"electric":[27],"shock-like":[28],"facial":[29],"pain":[30,224],"triggered":[31],"talking":[33],"chewing.This":[35],"occurred":[36],"on":[37,68,101],"background":[39],"approximately":[41],"four":[42],"months":[43],"intermittent":[45],"leftsided":[46],"headache.Although":[47],"presentation":[49],"initially":[50,127],"suggested":[51],"trigeminal":[52,93],"neuralgia":[53],"(TN)":[54],"with":[55,96,123,152,182,207,222],"concomitant":[56],"pain,":[57],"prolonged":[59],"sensory":[60],"disturbance,":[61],"left-sided":[62,97],"proptosis,":[63],"periorbital":[64],"symptoms,":[65],"diplopia":[67,100],"lateral":[70,103],"gaze":[71],"were":[72],"clinically":[73],"atypical":[74,208],"prompted":[76],"further":[77],"evaluation.Clinical":[78],"examination":[79],"demonstrated":[80,110],"tenderness":[81],"ophthalmic":[85],"(V1)":[86],"maxillary":[88],"(V2)":[89],"divisions":[90],"nerve,":[94,161],"together":[95],"proptosis":[98],"gaze.Neuroimaging":[104],"was":[105,171],"therefore":[106],"undertaken.Computed":[107],"tomography":[108],"(CT)":[109],"an":[111],"expansile":[112],"sclerotic":[113],"lesion":[114,229],"involving":[115,143],"greater":[118],"wing":[119,147],"sphenoid":[122,146],"ground-glass":[125],"appearance,":[126],"raising":[128],"suspicion":[129],"fibrous":[131],"dysplasia.Subsequent":[132],"magnetic":[133],"resonance":[134],"imaging":[135],"(MRI)":[136],"revealed":[137],"large":[139],"en":[140],"plaque":[141],"meningioma":[142,170],"middle":[149],"cranial":[150,217],"fossa,":[151],"orbital":[153],"extension":[154],"compression":[156],"optic":[160],"necessitating":[162],"specialist":[163],"neurosurgical":[164],"evaluation.A":[165],"separate":[166],"right":[167],"cerebellopontine":[168],"angle":[169],"also":[172],"identified.The":[173],"patient":[174],"underwent":[175],"surgical":[176],"resection":[177],"symptomatic":[180],"lesion,":[181],"histopathology":[183],"confirming":[184],"World":[186],"Health":[187],"Organization":[188],"(WHO)":[189],"grade":[190],"one":[191],"meningioma.This":[192],"case":[193],"highlights":[194],"importance":[196],"thorough":[198],"neurological":[199],"assessment":[200],"early":[202],"neuroimaging":[203],"patients":[205],"presenting":[206],"features":[209],"TN":[211],"exclude":[213],"secondary":[214,225],"causes":[215],"nerve":[218],"pathology":[219],"more":[220],"consistent":[221],"TN-like":[223],"structural":[228],"enable":[231],"timely":[232],"management":[233],"any":[235],"underlying":[236],"lesions.":[237]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-09-29T00:00:00"}
