Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report
| Autor: | Naseer Ahmed, Chaudhary Umar Asghar, Zafar Ali Khan, Tariq Mehmood, Shammas Raza Khan Raza Khan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Trigeminal nerve
medicine.medical_specialty business.industry Oral Surgeon medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Clinical report 030202 anesthesiology Trigeminal neuralgia medicine.artery medicine Neuralgia Basilar artery Secondary Trigeminal Neuralgia Corneal reflex business General Dentistry 030217 neurology & neurosurgery |
| Zdroj: | Brazilian Dental Science. 24 |
| ISSN: | 2178-6011 |
| DOI: | 10.14295/bds.2021.v24i1.2273 |
| Popis: | Objective: Patients with Trigeminal Neuralgia often consults a dentist for relief of their symptoms as the pain seems to be arising from teeth and allied oral structures. Basilar artery Dolichoectasia is an unusual and very rare cause of secondary Trigeminal Neuralgia as it compresses the Trigeminal nerve Root Entry Zone. Case reports: We report three cases of Trigeminal Neuralgia caused by Basilar artery Dolichoectasia compression. The corneal reflex was found absent in all three of the cases along with mild neurological deficits in one case. Multiplanar T1/T2W images through the brain disclosed an aberrant, cirsoid (S-shaped) and torturous Dolichoectasia of basilar artery offending the Trigeminal nerve Root Entry Zone. Discussion: Based on these findings we propose a protocol for general dentist for diagnosis of patients with trigeminal neuralgia and timely exclusion of secondary intracranial causes. Conclusion: General dentists and oral surgeons ought to consider this diagnosis in patients presenting with chronic facial pain especially pain mimicking neuralgia with loss of corneal reflex or other neurosensory deficit on the face along with nighttime pain episodes. Timely and accurate diagnosis and prompt referral to a concerned specialist can have an enormous impact on patient survival rate in such cases. KEYWORDS Basilar artery; Cirsoid dolichoectasia; Corneal reflex; Trigeminal neuralgia. |
| Databáze: | OpenAIRE |
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