medigraphic.com

2009, Number 3

<< Back Next >>

Anales de Radiología México 2009; 8 (3)

Neuralgia del nervio trigémino. Evidencia de compresión neurovascular en Imagen por Resonancia Magnética con secuencias CISS-3D

Gavito HA, Amescua HMC, Saldaña DY, Juárez EJM, Contreras LOA

Language: Spanish
References: 9
Page: 243-246
PDF size: 80.06 Kb.


ABSTRACT

Introduction: Trigeminal nerve neuralgia is shown by the atypical facial pain with pain relapses and exacerbations and motor or sensitive deficit absence.
Material and methods: A retrospective study was made to 27 patients who attended to Magnetic Resonance Service with V cranial nerve Neuralgia diagnosis from June 2008 to May 2009.
Results: Of the 15 patients with neurovascular compression evidence (NVC) at the expense of the superior cerebellar artery (SCA), it was observed that compression was bilateral in a 40%, left-hand SCA 33%, right-hand SCA 26%. Regarding anterior inferior cerebellar artery (AICA), the most frequent was in the left-hand side.
Conclusions: Using this 3D CISS sequence, for NVC diagnosis is a good alternative, since it reduces morbidity and procedure costs, besides speeding up time to obtain images.


REFERENCES

  1. Rushton JG, Olafson RA. Trigeminal neuralgia associated with multiple sclerosis: report of 35 cases. Arch Neurol 1965; 13: 383-6.

  2. Selby G. Diseases ofthe fifth cranial nerve. In: Dyck PJ, Thomas PK, Lambert EH, Bunge R (eds.). Peripheral neuropathy. 2nd Ed. Vol 2. Philadelphia, Pa: Saunders; 1984, p. 1224-99.

  3. Hamsberger HR. Head and neck imaging. 2nd. Ed. St Louis, Mo: Mosby-Year Book; 1995, p. 477-86.

  4. Majoie CBLM, et al. Trigeminal Neuralgia: Comparison of Two MR Imaging Techniques in the Demonstration of Neurovascular Contact. Radiology 1997; 204: 455-60.

  5. Ramírez MFL, Ledesma MP, García PHM. Ángulo pontocerebeloso: Descripción anatómica. Rev Inst Med Su 2006; LXXI(128): 72-6.

  6. Yoshino N, et al. Trigeminal Neuralgia: Evaluation of Neuralgic Manifestation and Site of Neurovascular Compression with 3D CISS MR Imaging and MR Angiography. Radiology 2003; 228: 539-45.

  7. De Lange EE, Vielvoye J, Voormolen JHC. Arterial Compression of the Fifth Cranial Nerve Causing Trigeminal Neuralgia: Angiographic Findings. Radiology 1986; 158: 721-7.

  8. Majoie CBM, Hulsmans FJ, Castelijns JA, Verbeeten B, et al. Symptoms and Signs Related to the Trigeminal Nerve: Diagnostic Yield of MR Imaging. Radiology 1998; 209: 557-62.

  9. Osborn AG. Diagnostic Neuroradiology. Mosby; 1994, p. 142-5.




2020     |     www.medigraphic.com