Trigeminal neuralgia caused by the vertebral artery associated with primitive trigeminal artery and agenesis of the internal carotid artery - Case report

被引：15

作者：

Fukuda, M ^{[1
]}

Kameyama, S ^{[1
]}

Takahashi, H ^{[1
]}

Tanaka, R ^{[1
]}

机构：

[1] Niigata Univ, Brain Res Inst, Dept Neurosurg, Niigata 9518585, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 1998年 / 38卷 / 06期

关键词：

agenesis of internal carotid artery; microvascular decompression; primitive trigeminal artery; trigeminal neuralgia; vertebrobasilar artery;

D O I：

10.2176/nmc.38.367

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 69-year-old female presented with trigeminal neuralgia caused by tortuous vertebrobasilar artery associated with primitive trigeminal artery (PTA) and agenesis of the ipsilateral internal carotid artery (ICA), Left vertebral angiography showed marked elongation of the left vertebral artery and filling of the left ICA via the PTA, Bone window computed tomography suggested agenesis of the left ICA. Intraoperative findings showed that the vertebrobasilar junction had compressed the root entry zone of the trigeminal nerve. The neuralgia improved immediately after microvascular decompression. There has been no recurrence for 20 months, Trigeminal neuralgia may be caused by a tortuous vertebrobasilar system due to hemodynamic stress associated with PTA and agenesis of the ICA.

引用

页码：367 / 370

页数：4

共 11 条

[1]

PAINFUL TIC CONVULSIVE CAUSED BY A CONTRALATERAL VERTEBRAL ARTERY [J].