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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.
J Neurosurg Sci. 2012 Jun; 56(2):151-4.JN

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.

Authors+Show Affiliations

Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA. lvgresso@bcm.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

22617178

Citation

Gressot, L V., et al. "Surgical Treatment for Combined Hemifacial Spasm and Atypical Trigeminal Neuralgia Caused By a Tortuous Basilar Artery. Case Report and Review of the Literature." Journal of Neurosurgical Sciences, vol. 56, no. 2, 2012, pp. 151-4.
Gressot LV, Hassaneen W, Fox BD, et al. Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature. J Neurosurg Sci. 2012;56(2):151-4.
Gressot, L. V., Hassaneen, W., Fox, B. D., Mitchell, B. D., Tatsui, C. E., Ehni, B. L., & Omeis, I. (2012). Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature. Journal of Neurosurgical Sciences, 56(2), 151-4.
Gressot LV, et al. Surgical Treatment for Combined Hemifacial Spasm and Atypical Trigeminal Neuralgia Caused By a Tortuous Basilar Artery. Case Report and Review of the Literature. J Neurosurg Sci. 2012;56(2):151-4. PubMed PMID: 22617178.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature. 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, PY - 2012/5/24/entrez PY - 2012/5/24/pubmed PY - 2012/8/31/medline SP - 151 EP - 4 JF - Journal of neurosurgical sciences JO - J Neurosurg Sci VL - 56 IS - 2 N2 - 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. SN - 0390-5616 UR - https://www.unboundmedicine.com/medline/citation/22617178/Surgical_treatment_for_combined_hemifacial_spasm_and_atypical_trigeminal_neuralgia_caused_by_a_tortuous_basilar_artery__Case_report_and_review_of_the_literature_ L2 - http://www.minervamedica.it/index2.t?show=R38Y2012N02A0151 DB - PRIME DP - Unbound Medicine ER -