9. Trigeminal neuralgia secondary to basilar artery dolichoectasia

Article type: CME in Images
Article title: Trigeminal neuralgia secondary to basilar artery dolichoectasia

Journal: Current Medical Issues
Year: 2018
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari Caprara
E-mail: jamirrissardo@gmail.com

ABSTRACT
A 60yearold male presented with progressively severe left facial pain with 8 years of onset. The pain was stabbing on quality and occurred in paroxysmal attacks in V2 and V3 trigeminal territories with duration of approximately 30 s–1 min. He was previously healthy and his family history was unremarkable. The neurological examination showed facial trigger points in the left maxillary region. Furthermore, he said that brushing teeth and shaving triggered pain. Laboratory tests were within the normal limits. A noncontrast head computed tomography was requested.
Keywords: Trigeminal neuralgia, basilar artery, dolichoectasia

Full text available at:
DOI
10.4103/cmi.cmi_16_18

Citation
Rissardo JP, Caprara AL. Trigeminal neuralgia secondary to basilar artery dolichoectasia. Curr Med Issues 2018;16:103-4

Figure 1: Noncontrast cranial computed tomography scan.

Figure 2: Arrows point to the basilar artery dolichoectasia.


Table 1: Third beta version of the diagnostic criteria for classical trigeminal neuralgia of the international classification of headache disorders

Table 2: Differential diagnosis of trigeminal neuralgia