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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 630-633
DOI: 10.4103/ajns.AJNS_433_20
Case Report

A rare combined trigeminal neuralgia with hemifacial spasm in a 78-year-old male patient

Donny Argie
Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara
,
Christopher Lauren
Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara
,
Elric Malelak
Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara
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This case reported a 78-year-old male patient presented with combined trigeminal neuralgia and hemifacial spasm, which is a rare finding and seldom addressed. Magnetic resonance imaging examination showed compression of right N.V by the right superior cerebellar artery (SCA) but did not prove any compression on the right N.VII. This patient is treated with microvascular decompression, and we found out compression of right N.V by right SCA and N.VII from the right anterior inferior cerebellar artery. Postoperatively, the symptoms were resolved with transient hypoesthesia and no recurrence after 1-year follow-up.

Key-words:

Hemifacial spasm - hyperactive dysfunction syndrome - microvascular decompression - trigeminal neuralgia

Financial support and sponsorship

Nil.




Publication History

Received: 15 September 2020

Accepted: 15 April 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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