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- ItemAcesso aberto (Open Access)Primary melanoma of Meckel's cave: case report(Academia Brasileira de Neurologia - ABNEURO, 2004-06-01) Falavigna, Asdrubal; Borba, Luis A. B.; Ferraz, Fernando Antonio Patriani [UNIFESP]; Almeida, Giovana Camargo De; Krindges Júnior, José Valentim; Fundação Universidade de Caxias do Sul; Evangélica Medical School; Universidade Federal de São Paulo (UNIFESP); Universidade de Caxias do Sul Faculdade de MedicinaWe present a case of trigeminal neuralgia with cranial normal magnetic resonance image (MRI) and computed tomography. The pain was not relieved by carbamazepine and microvascular decompression surgery was done. After two months the pain was similar to the condition before surgery. At this time, MRI showed an expansive lesion in Meckel's cave that was treated with radical resection by extra-dural approach. The pathologic examination revealed a primary melanoma. The follow-up after six months did not show abnormalities.