Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature

L. V. Gressot; W. Hassaneen; B. D. Fox; B. D. Mitchell; C. E. Tatsui; B. L. Ehni; I. Omeis

Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature

L. V. Gressot, W. Hassaneen, B. D. Fox, B. D. Mitchell, C. E. Tatsui, B. L. Ehni, I. Omeis

Neurosurgery

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Simultaneous hemifacial spasm (HFS) and trigeminal neuralgia caused by cranial nerve (CN) compression from a tortuous basilar artery (BA) is very rare. We report a case of a 66-year-old man who presented with both HFS and "atypical" trigeminal neuralgia. The patient had a tortuous BA compressing both CN V and VII. The patient underwent microvascular decompression after failing conservative medical management. To the best of our knowledge this is the first reported case of both HFS and "atypical" trigeminal neuralgia that were both successfully treated by surgical intervention. We report the management of this rare combination and review the literature.

Original language	English (US)
Pages (from-to)	151-154
Number of pages	4
Journal	Journal of Neurosurgical Sciences
Volume	56
Issue number	2
State	Published - Jun 2012

Keywords

Basilar artery
Facial neuralgia
Hemifacial spasm
Trigeminal neuralgia

ASJC Scopus subject areas

Surgery
Clinical Neurology

Cite this

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abstract = "Simultaneous hemifacial spasm (HFS) and trigeminal neuralgia caused by cranial nerve (CN) compression from a tortuous basilar artery (BA) is very rare. We report a case of a 66-year-old man who presented with both HFS and {"}atypical{"} trigeminal neuralgia. The patient had a tortuous BA compressing both CN V and VII. The patient underwent microvascular decompression after failing conservative medical management. To the best of our knowledge this is the first reported case of both HFS and {"}atypical{"} trigeminal neuralgia that were both successfully treated by surgical intervention. We report the management of this rare combination and review the literature.",

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AU - Gressot, L. V.

AU - Hassaneen, W.

AU - Fox, B. D.

AU - Mitchell, B. D.

AU - Tatsui, C. E.

AU - Ehni, B. L.

AU - Omeis, I.

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AB - Simultaneous hemifacial spasm (HFS) and trigeminal neuralgia caused by cranial nerve (CN) compression from a tortuous basilar artery (BA) is very rare. We report a case of a 66-year-old man who presented with both HFS and "atypical" trigeminal neuralgia. The patient had a tortuous BA compressing both CN V and VII. The patient underwent microvascular decompression after failing conservative medical management. To the best of our knowledge this is the first reported case of both HFS and "atypical" trigeminal neuralgia that were both successfully treated by surgical intervention. We report the management of this rare combination and review the literature.

KW - Basilar artery

KW - Facial neuralgia

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KW - Trigeminal neuralgia

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Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature

Abstract

Keywords

ASJC Scopus subject areas

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