Dolichoectasia of vertebrobasilar artery presenting as facial pain: a case report

被引:0
|
作者
Vadhanan, Prasanna [1 ,2 ]
机构
[1] Vinayaka Missions Univ, Vinayaka Missions Res Fdn, Vinayaka Missions Med Coll, Dept Anaesthesiol, Karaikal 609609, India
[2] Pain Clin, Mayiladuthurai, India
关键词
Botulinum Toxin; Facial pain; Hemifacial spasm; Vertebrobasilar insufficiency;
D O I
10.17245/jdapm.2023.23.4.237
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Dolichoectasia of the intracranial arteries is a rare condition characterized by elongated and tortuous arteries due to progressive destruction of the vessel walls. Although most patients present with cerebrovascular accidents, our patient presented with intractable facial pain along the distribution of the trigeminal nerve. Clinical examination revealed involvement of the 5th, 7th, and 8th cranial nerves, and subsequent MRI showed dolichoectasia of the left basilar artery. The patient experienced symptomatic relief after a trial of carbamazepine along with botulinum toxin injections.
引用
收藏
页码:237 / 240
页数:4
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