We report the case of a 73-year-old woman who presented with right VI nerve palsy and homolateral atypical trigeminal neuralgia; standard neuroradiological investigation of orbital/retroorbital regions and intracranial arteries excluded the most commonly demonstrable underlying causes while brain magnetic resonance (T1-weighted fat suppression; T2-weighted thin-section) and magnetic resonance angiography disclosed the evidence of "double" neurovascular conflict because of persistent trigeminal artery with aneurysmal dilation.

Persistent trigeminal artery causing double neurovascular conflict

NOCE, MONICA;BONO, GIORGIO GIOVANNI
2009

Abstract

We report the case of a 73-year-old woman who presented with right VI nerve palsy and homolateral atypical trigeminal neuralgia; standard neuroradiological investigation of orbital/retroorbital regions and intracranial arteries excluded the most commonly demonstrable underlying causes while brain magnetic resonance (T1-weighted fat suppression; T2-weighted thin-section) and magnetic resonance angiography disclosed the evidence of "double" neurovascular conflict because of persistent trigeminal artery with aneurysmal dilation.
persistent primitive trigeminal artery, carotid-basilar anastomosis, trigeminal neuralgia, oculomotor palsy, painful ophthalmoplegia
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11383/9970
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