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

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 compr...

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Bibliographic Details
Published inJournal of neurosurgical sciences Vol. 56; no. 2; pp. 151 - 154
Main Authors Gressot, L V, Hassaneen, W, Fox, B D, Mitchell, B D, Tatsui, C E, Ehni, B L, Omeis, I
Format Journal Article
LanguageEnglish
Published Italy 01.06.2012
Subjects
Abducens Nerve - surgery
Aged
Basilar Artery - pathology
Basilar Artery - surgery
Decompression, Surgical
Hemifacial Spasm - surgery
Humans
Male
Microvascular Decompression Surgery
Nerve Compression Syndromes - surgery
Neuralgia - surgery
Treatment Outcome
Trigeminal Nerve - surgery
Trigeminal Neuralgia - surgery
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Summary: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.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ISSN:0390-5616