Vertebrobasilar dolichoectasia as a cause of trigeminal neuralgia: the role of microvascular decompression. Case report

Autor: Jorge Luiz Kraemer, Arthur de Azambuja Pereira Filho, Gustavo de David, Mario de Barros Faria
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Zdroj: Arquivos de Neuro-Psiquiatria, Vol 64, Iss 1, Pp 128-131 (2006)
Druh dokumentu: article
ISSN: 1678-4227
0004-282X
DOI: 10.1590/S0004-282X2006000100027
Popis: Our purpose is to report a case of trigeminal neuralgia caused by vertebrobasilar dolichoectasia treated with microvascular decompression. A 63-year-old man sought treatment for a recurrent lancinating left facial pain in V2 and V3 trigeminal territories. The computed tomography angiography revealed a mechanical compression of the left trigeminal nerve due to vertebrobasilar dolichoectasia. The patient was submitted to a left suboccipital craniotomy. Shredded Teflon® was introduced in the conflicting neurovascular area, achieving a satisfactory decompression. The patient’s pain resolved immediately. Vertebrobasilar dolichoectasia is a rare cause of trigeminal neuralgia and a successful outcome can be achieved with microvascular decompression.
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