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Specialty: Neurology
Condition: Pain
Education: Teaching
Therapy: Pain Management
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Total 1 results found since Jan 2013.
Teaching NeuroImages: Concurrent hemifacial spasm and trigeminal neuralgia due to vertebrobasilar dolichoectasia
A 64-year-old man reported a 2-week worsening of a 2-year history of paroxysmal, lancinating right facial pain and spasms. Head CT demonstrated a tortuous and ectatic vertebral-basilar system. MRI confirmed a dolichoectatic basilar artery that distorted the right trigeminal (figure 1) and facial nerve roots (figure 2). He failed conservative medical management including carbamazepine, oxcarbazepine, and levetiracetam. He underwent Gamma Knife radiosurgery with few months of pain relief and was offered botulinum neurotoxin injection for spasms.
Source: Neurology - August 19, 2013 Category: Neurology Authors: Lakhan, S. E. Tags: Other cerebrovascular disease/ Stroke, All Movement Disorders, Trigeminal neuralgia RESIDENT AND FELLOW SECTION Source Type: research
