1 Hermanos Ameijeiras Hospital, Service of Neurology, Havana, Cuba.
2 Institute of Neurology and Neurosurgery, Department of Clinical Neurophysiology, Havana, Cuba.
World Journal of Advanced Research and Reviews, 2022, 16(01), 784–787
Article DOI: 10.30574/wjarr.2022.16.1.1005
DOI url: https://doi.org/10.30574/wjarr.2022.16.1.1005
Received on 02 September 2022; revised on 25 October 2022; accepted on 28 October 2022
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.
Trigeminal neuralgia; Medulla oblongata; Dolichoectasia; Vertebrobasilar; CT scan
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Jesús Pérez-Nellar and Calixto Machado. Trigeminal neuralgia secondary to medulla oblongata compression by vertebrobasilar dolichoectasia. World Journal of Advanced Research and Reviews, 2022, 16(01), 784–787. Article DOI: https://doi.org/10.30574/wjarr.2022.16.1.1005
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