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Persistent Trigeminal Artery Causing “Double” Neurovascular Conflict
Author(s) -
Clerici Angelo Maurizio,
Merlo Paola,
Rog Felice,
Noce Monica,
Rog Elisa,
Bono Giorgio
Publication year - 2009
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2008.01258.x
Subject(s) - neurovascular bundle , medicine , magnetic resonance imaging , trigeminal artery , magnetic resonance angiography , palsy , trigeminal nerve , trigeminal neuralgia , radiology , anatomy , surgery , basilar artery , pathology , alternative medicine
We report the case of a 73‐year‐old woman who presented with right VI nerve palsy and homolateral atypical trigeminal neuralgia; standard neuroradiological investigation of orbital/retroorbital regions and intracranial arteries excluded the most commonly demonstrable underlying causes while brain magnetic resonance (T1‐weighted fat suppression; T2‐weighted thin‐section) and magnetic resonance angiography disclosed the evidence of “double” neurovascular conflict because of persistent trigeminal artery with aneurysmal dilation. A role of this almost rare vascular condition in causing painful ophthalmoplegia is discussed.