Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report
Abstract Background Persistent trigeminal artery (PTA) is a rare arterial anastomosis between the basilar artery (BA) and internal carotid artery (ICA). It plays an indispensable role in a number of neurological disorders, including trigeminal neuralgia (TN). Case presentation We report a unique cas...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-022-03490-9 |
| _version_ | 1818492382411227136 |
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| author | Tao Sun Qinghao Huang Chuangfeng Li Wentao Wang Longshuang He Jinlong Liu Chao Yang |
| author_facet | Tao Sun Qinghao Huang Chuangfeng Li Wentao Wang Longshuang He Jinlong Liu Chao Yang |
| author_sort | Tao Sun |
| collection | DOAJ |
| description | Abstract Background Persistent trigeminal artery (PTA) is a rare arterial anastomosis between the basilar artery (BA) and internal carotid artery (ICA). It plays an indispensable role in a number of neurological disorders, including trigeminal neuralgia (TN). Case presentation We report a unique case of a 58-year-old Han female patient with TN caused by PTA associated with craniosynostosis. Preoperative three-dimensional time-of-flight (3D-TOF) magnetic resonance (MR) and 3D constructive inference in steady state (3D-CISS) imaging showed that the PTA run though Meckel’s cave. Complete pain relief was immediately achieved after microvascular decompression (MVD), without facial numbness and other complications. No recurrence was recorded at the 1-year follow up. Conclusions Microvascular decompression is a feasible option for the treatment of complex TN combined with other abnormalities. For patients deemed suitable for percutaneous balloon compression, PTA should be ruled out. Preoperative 3D-TOF and 3D-CISS MR imaging were essential to identify PTA neurovascular conflicts. |
| first_indexed | 2024-12-10T17:42:18Z |
| format | Article |
| id | doaj.art-75bd2dcb6a7a4303b058b1b62578cd0e |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-10T17:42:18Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-75bd2dcb6a7a4303b058b1b62578cd0e2022-12-22T01:39:20ZengBMCJournal of Medical Case Reports1752-19472022-07-011611410.1186/s13256-022-03490-9Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case reportTao Sun0Qinghao Huang1Chuangfeng Li2Wentao Wang3Longshuang He4Jinlong Liu5Chao Yang6Department of Neurosurgery, The First Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-Sen UniversityCenter of Universal Medical Imaging DiagnosticDepartment of Neurosurgery, The First Affiliated Hospital of Guangdong Pharmaceutical UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Guangdong Pharmaceutical UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-Sen UniversityAbstract Background Persistent trigeminal artery (PTA) is a rare arterial anastomosis between the basilar artery (BA) and internal carotid artery (ICA). It plays an indispensable role in a number of neurological disorders, including trigeminal neuralgia (TN). Case presentation We report a unique case of a 58-year-old Han female patient with TN caused by PTA associated with craniosynostosis. Preoperative three-dimensional time-of-flight (3D-TOF) magnetic resonance (MR) and 3D constructive inference in steady state (3D-CISS) imaging showed that the PTA run though Meckel’s cave. Complete pain relief was immediately achieved after microvascular decompression (MVD), without facial numbness and other complications. No recurrence was recorded at the 1-year follow up. Conclusions Microvascular decompression is a feasible option for the treatment of complex TN combined with other abnormalities. For patients deemed suitable for percutaneous balloon compression, PTA should be ruled out. Preoperative 3D-TOF and 3D-CISS MR imaging were essential to identify PTA neurovascular conflicts.https://doi.org/10.1186/s13256-022-03490-9Persistent trigeminal arteryTrigeminal neuralgiaCraniosynostosisMicrovascular decompression |
| spellingShingle | Tao Sun Qinghao Huang Chuangfeng Li Wentao Wang Longshuang He Jinlong Liu Chao Yang Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report Journal of Medical Case Reports Persistent trigeminal artery Trigeminal neuralgia Craniosynostosis Microvascular decompression |
| title | Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report |
| title_full | Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report |
| title_fullStr | Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report |
| title_full_unstemmed | Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report |
| title_short | Microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis: a case report |
| title_sort | microvascular decompression for trigeminal neuralgia caused by persistent trigeminal artery associated with craniosynostosis a case report |
| topic | Persistent trigeminal artery Trigeminal neuralgia Craniosynostosis Microvascular decompression |
| url | https://doi.org/10.1186/s13256-022-03490-9 |
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