Neurovascular Compression Associated with Trigeminal Neuralgia and Systemic Arterial Hypertension: Surgical Treatment
Objective and Importance: To highlight arterial hypertension as an additional factor favoring surgical indication in neurovascular compression syndromes such as trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. Clinical Presentation: A 52-year-old woman with trigeminal neuralgi...
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| Veröffentlicht in: | Stereotactic and functional neurosurgery 2002-01, Vol.79 (3-4), p.284-290 |
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| container_title | Stereotactic and functional neurosurgery |
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| creator | Sendeski, Mauricio Aguiar, Paulo Henrique Zanetti, Marcus Vinicius Teixeira, Manoel Jacobsen Cescato, Valter Ângelo |
| description | Objective and Importance: To highlight arterial hypertension as an additional factor favoring surgical indication in neurovascular compression syndromes such as trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. Clinical Presentation: A 52-year-old woman with trigeminal neuralgia concomitant with systemic arterial hypertension, submitted initially to unsatisfactory conservative treatment, presents tortuousness and enlargement of the vertebral artery (VA) topography on magnetic resonance imaging (MRI). A microsurgical neurovascular decompression of the trigeminal nerve and the medulla was performed, revealing that the compression was due to the superior cerebellar artery instead of the VA. Both the neuralgia and the hypertension were controlled with no need of medication during a 1-year follow-up. Conclusion: Surgical indication in neurovascular compression disorders should be reinforced in the presence of concomitant arterial hypertension and a compatible MRI examination. |
| doi_str_mv | 10.1159/000070841 |
| format | Article |
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Clinical Presentation: A 52-year-old woman with trigeminal neuralgia concomitant with systemic arterial hypertension, submitted initially to unsatisfactory conservative treatment, presents tortuousness and enlargement of the vertebral artery (VA) topography on magnetic resonance imaging (MRI). A microsurgical neurovascular decompression of the trigeminal nerve and the medulla was performed, revealing that the compression was due to the superior cerebellar artery instead of the VA. Both the neuralgia and the hypertension were controlled with no need of medication during a 1-year follow-up. Conclusion: Surgical indication in neurovascular compression disorders should be reinforced in the presence of concomitant arterial hypertension and a compatible MRI examination.</description><identifier>ISSN: 1011-6125</identifier><identifier>EISSN: 1423-0372</identifier><identifier>DOI: 10.1159/000070841</identifier><identifier>PMID: 12890987</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Case Report ; Cerebellum - blood supply ; Female ; Humans ; Hypertension - complications ; Hypertension - pathology ; Hypertension - physiopathology ; Magnetic Resonance Imaging ; Middle Aged ; Nerve Compression Syndromes - etiology ; Nerve Compression Syndromes - pathology ; Nerve Compression Syndromes - surgery ; Pressoreceptors - physiology ; Solitary Nucleus - physiology ; Trigeminal Neuralgia - etiology ; Trigeminal Neuralgia - pathology ; Trigeminal Neuralgia - surgery ; Vertebral Artery - pathology</subject><ispartof>Stereotactic and functional neurosurgery, 2002-01, Vol.79 (3-4), p.284-290</ispartof><rights>2002 S. Karger AG, Basel</rights><rights>Copyright 2002 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-6a169b9bdf54e911cb0851fa13f40ee5cff028239bc2749982d99337668674e83</citedby><cites>FETCH-LOGICAL-c328t-6a169b9bdf54e911cb0851fa13f40ee5cff028239bc2749982d99337668674e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12890987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sendeski, Mauricio</creatorcontrib><creatorcontrib>Aguiar, Paulo Henrique</creatorcontrib><creatorcontrib>Zanetti, Marcus Vinicius</creatorcontrib><creatorcontrib>Teixeira, Manoel Jacobsen</creatorcontrib><creatorcontrib>Cescato, Valter Ângelo</creatorcontrib><title>Neurovascular Compression Associated with Trigeminal Neuralgia and Systemic Arterial Hypertension: Surgical Treatment</title><title>Stereotactic and functional neurosurgery</title><addtitle>Stereotact Funct Neurosurg</addtitle><description>Objective and Importance: To highlight arterial hypertension as an additional factor favoring surgical indication in neurovascular compression syndromes such as trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. 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Conclusion: Surgical indication in neurovascular compression disorders should be reinforced in the presence of concomitant arterial hypertension and a compatible MRI examination.</description><subject>Case Report</subject><subject>Cerebellum - blood supply</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertension - pathology</subject><subject>Hypertension - physiopathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Nerve Compression Syndromes - etiology</subject><subject>Nerve Compression Syndromes - pathology</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Pressoreceptors - physiology</subject><subject>Solitary Nucleus - physiology</subject><subject>Trigeminal Neuralgia - etiology</subject><subject>Trigeminal Neuralgia - pathology</subject><subject>Trigeminal Neuralgia - surgery</subject><subject>Vertebral Artery - pathology</subject><issn>1011-6125</issn><issn>1423-0372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0EtLAzEQB_Agiq2Pg2dBggfBw2oe-0i8lWKtUOqh9bxks7M1ui-TXaXf3tSWejGXDJlf_gOD0AUld5RG8p74kxAR0gM0pCHjAeEJO_Q1oTSIKYsG6MS5d694mIhjNKBMSCJFMkT9HHrbfCmn-1JZPG6q1oJzpqnxyLlGG9VBjr9N94aX1qygMrUq8eaTKldGYVXneLF2nW9oPLIdWOP703ULvq43OQ940duV0f55aUF1FdTdGToqVOngfHefotfJ43I8DWYvT8_j0SzQnIkuiBWNZSazvIhCkJTqjIiIForyIiQAkS4KwgTjMtMsCaUULJeS8ySORZyEIPgputnmtrb57MF1aWWchrJUNTS9SxMmKYvD2MPbLdS2cc5CkbbWVMquU0rSzY7T_Y69vdqF9lkF-Z_cLdWD6y34UHYFdg8Wk_lvQtrmhUeX_6LtjB9IV4yu</recordid><startdate>20020101</startdate><enddate>20020101</enddate><creator>Sendeski, Mauricio</creator><creator>Aguiar, Paulo Henrique</creator><creator>Zanetti, Marcus Vinicius</creator><creator>Teixeira, Manoel Jacobsen</creator><creator>Cescato, Valter Ângelo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020101</creationdate><title>Neurovascular Compression Associated with Trigeminal Neuralgia and Systemic Arterial Hypertension: Surgical Treatment</title><author>Sendeski, Mauricio ; 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Clinical Presentation: A 52-year-old woman with trigeminal neuralgia concomitant with systemic arterial hypertension, submitted initially to unsatisfactory conservative treatment, presents tortuousness and enlargement of the vertebral artery (VA) topography on magnetic resonance imaging (MRI). A microsurgical neurovascular decompression of the trigeminal nerve and the medulla was performed, revealing that the compression was due to the superior cerebellar artery instead of the VA. Both the neuralgia and the hypertension were controlled with no need of medication during a 1-year follow-up. Conclusion: Surgical indication in neurovascular compression disorders should be reinforced in the presence of concomitant arterial hypertension and a compatible MRI examination.</abstract><cop>Basel, Switzerland</cop><pmid>12890987</pmid><doi>10.1159/000070841</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1011-6125 |
| ispartof | Stereotactic and functional neurosurgery, 2002-01, Vol.79 (3-4), p.284-290 |
| issn | 1011-6125 1423-0372 |
| language | eng |
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| source | Karger Journals; MEDLINE |
| subjects | Case Report Cerebellum - blood supply Female Humans Hypertension - complications Hypertension - pathology Hypertension - physiopathology Magnetic Resonance Imaging Middle Aged Nerve Compression Syndromes - etiology Nerve Compression Syndromes - pathology Nerve Compression Syndromes - surgery Pressoreceptors - physiology Solitary Nucleus - physiology Trigeminal Neuralgia - etiology Trigeminal Neuralgia - pathology Trigeminal Neuralgia - surgery Vertebral Artery - pathology |
| title | Neurovascular Compression Associated with Trigeminal Neuralgia and Systemic Arterial Hypertension: Surgical Treatment |
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