Open AccessTrigeminal neuralgia secondary to basilar impression: A case report
Author(s) -
Maurus Marques de Almeida Holanda,
Normando Guedes Pereira Neto,
Gustavo de Moura Peixoto,
Rayan Haquim Pinheiro Santos
Publication year - 2015
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/0974-8237.156062
Subject(s) - medicine , trigeminal neuralgia , neuralgia , medulla oblongata , posterior fossa , magnetic resonance imaging , surgery , occipital bone , trigeminal nerve , dorsum , anatomy , radiology , skull , anesthesia , neuropathic pain , central nervous system , endocrinology
We report a rare case of trigeminal neuralgia. A 23-year-old woman with a history of 1 year of typical trigeminal neuralgia manifested the characteristics of basilar impression. Magnetic resonance imaging (MRI) demonstrated basilar impression, deformity of the posterior fossa with asymmetry of petrous bone, and compression of medulla oblongata in the topography of the odontoid apophysis. The operation was performed through a suboccipital craniectomy. The neuralgia disappeared after surgery and remains completely resolved until today. This is the second reported case of trigeminal neuralgia in a patient with basilar impression in Brazil.