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

Arquivos de neuro-psiquiatria
Jorge Luiz KraemerMario de Barros Faria

Abstract

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 patients 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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Citations

May 7, 2013·Neurosurgical Review·Xiangyu MaXingang Li
Nov 28, 2012·Journal of Neuroradiology. Journal De Neuroradiologie·Kamble Jayaprakash HarshaSujit Jagtap
Jun 18, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Mohammad SamimMichele H Johnson
Feb 12, 2008·Clinical Orthopaedics and Related Research·Philipp KobbeGarry S Gruen
Apr 1, 2016·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·Yu A GrigoryanG Yu Grigoryan
Jul 24, 2021·Journal of Neurosciences in Rural Practice·Manjul TripathiSonikpreet Aulakh

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