Trigeminal Neuralgia Caused by a Tortuous and Dilated Vertebral Artery.
- Author:
Seung Gi KIM
1
;
Sang Hyung LEE
;
Woong Kyu JANG
;
Dong Gyu KIM
;
Dae Hee HAN
Author Information
1. Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Trigeminal neuralgia;
Dolichoectasia;
Vertebrobasilar artery
- MeSH:
Aged;
Angiography;
Arteries;
Brain;
Hearing;
Humans;
Magnetic Resonance Imaging;
Microvascular Decompression Surgery;
Pons;
Rhizotomy;
Trigeminal Nerve;
Trigeminal Neuralgia*;
Vertebral Artery*
- From:Journal of Korean Neurosurgical Society
1993;22(5):672-676
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors present a 67-year-old man who developed trigeminal neuralia caused by a dolichoectatic vertebrobasilar artery. Brain magnetic resonance imaging showed a tubular structure traversed the anterior surface of the sbrainstem, which compressed the left ven trilateral pons in the region of the trigeminal root entry zone. Vertebral angiography demonstrated a tortuous dilated vertebrobasilar artery. Microvascular decompression of the trigeminal nerve from the dolichoectatic vertebral artery and simultaneous selective trigeminal rhizotomy were performed. Postoperatively, the patient was relieved of pain but suffered a hearing deficit in the ipsilateral side.
