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Trigeminal neuralgia secondary to medulla oblongata compression by vertebrobasilar dolichoectasia
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Background. Trigeminal neuralgia secondary to medulla oblongata compression by dolichoectasia of the vertebral artery is rare. Case report. A 60-year-old patient with trigeminal neuralgia secondary to medulla oblongata compression by a dolichoectatic vertebral artery is presented. There was a remarkable improvement in the pain after treatment with Gabapentine. Conclusions. Direct involvement of the nerve is the usual mechanism of trigeminal neuralgia. However, medulla oblongata compression might be an important non-recognized mechanism in cases with vertebral dolichoectasia.
Title: Trigeminal neuralgia secondary to medulla oblongata compression by vertebrobasilar dolichoectasia
Description:
Background.
Trigeminal neuralgia secondary to medulla oblongata compression by dolichoectasia of the vertebral artery is rare.
Case report.
A 60-year-old patient with trigeminal neuralgia secondary to medulla oblongata compression by a dolichoectatic vertebral artery is presented.
There was a remarkable improvement in the pain after treatment with Gabapentine.
Conclusions.
Direct involvement of the nerve is the usual mechanism of trigeminal neuralgia.
However, medulla oblongata compression might be an important non-recognized mechanism in cases with vertebral dolichoectasia.
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