Cruz-Garcia O, Lopez-Flores G, Fernandez-Melo R, Perez-Morales I, Diaz D

Language: Spanish
References: 4
Page: 179-180
PDF size: 97.89 Kb.

ABSTRACT

We present a masculine 57 years old patient, hypertense, with history of two years of left trigeminal neuralgia (TN) interesting the three branches. In the studies the existence of a left CVBD with hypoplasia of the right vertebral artery was demonstrated, the basilar ectasic artery produced a curl at level of angle cistern coinciding with the exit place of the V nerve. Left retrosigmoid craniectomy was practiced, and the basilar dolichoectasic ateromatosa artery was separated from the nerve interposing a polyurethane fragment; the patient showed total and immediate pain relief post procedure.

REFERENCES

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2. Baquero M, Yaya-Huaman R. Vertebrobasilar dolichoectasia. Rev Neurol 1998; 26(149): 143-8.

3. Yoshimoto Y, Noguchi M, Tsutsumi Y. Encircling method of trigeminal nerve decompression for neuralgia caused by tortuous vertebrobasilar artery: technical note. Surg Neurol 1995; 43(2): 151-3.

4. Stone JL, Lichtor T, Crowell RM. Microvascular sling decompression for trigeminal neuralgia secondary to ectatic vertebrobasilar compression. Case report. J Neurosurg 1993; 79(6): 943-5.