Document Detail

Concurrent trigeminal and glossopharyngeal neuralgia, hemifacial spasm and hypertension by neurovascular compression. Case report.
MedLine Citation:
PMID:  9444585     Owner:  NLM     Status:  MEDLINE    
The case is reported of a 58 year-old man with left-sided trigeminal and glossopharyngeal neuralgia, left hemifacial spasm and arterial hypertension. Preoperative MRI angiography examination showed a massively ectatic left vertebral artery. At operation a multiple neurovascular compression, which is described, was discovered. Microvascular decompression was performed and postoperatively the patient had complete relief from the trigeminal and glossopharyngeal neuralgia, from the hemifacial spasm, and has sustained normal arterial pressure without medication. The value of MRI in diagnosing of neurovascular compression syndromes and pathophysiology of the "so called" arterial hypertension are discussed.
N Platania; G F Nicoletti; G Barbagallo; V Albanese
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  41     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1998-03-10     Completed Date:  1998-03-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  303-7     Citation Subset:  IM    
Institute of Neurosurgery, University of Catania, Italy.
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MeSH Terms
Cerebral Angiography
Glossopharyngeal Nerve / physiopathology*
Hemifacial Spasm / complications*
Hypertension / complications*
Magnetic Resonance Imaging
Middle Aged
Nerve Compression Syndromes / complications*,  diagnosis
Neuralgia / complications*
Trigeminal Neuralgia / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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