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

Donny Argie; Christopher Lauren; Elric Malelak

doi:10.4103/ajns.AJNS_433_20

Asian Journal of Neurosurgery, Table of Contents

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

Authors

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

Abstract

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

Full Text

References

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