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Neurovascular compression of the left rostral ventrolateral medulla: clinic findings and surgical result

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http://www.jns.dergisi.org/text.php3?id=701

Case Report

Neurovascular Compression of The Left Rostral Ventrolateral Medulla: Clinic Findings

and Surgical Result

1

Departments of Neurosurgery, Özel Bilgi Hospital, Ankara, Turkey

2

Departments of

Neurosurgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul,

Turkey

3

Departments of Neurology, Gulhane Military Medical Academy, Haydarpasa

Training Hospital, Istanbul, Turkey

4

Departments of Radiology, Ufuk University, Ankara,

Turkey

5

Departments of Neurosurgery, Ufuk University, Ankara, Turkey

Summary

Key words:

Sol Rostral Ventrolateral Medulla'nın Nörovasküler Basısı: Klinik Bulgular ve Cerrahi

Sonuç

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Anahtar Kelimeler:

INTRODUCTION

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Figure 1: On axial sections 3D-fiesta images showed a

widened and elongated basilar artery (arrow). Figure 2: The left facial nerve is compressed and displaced by the elongated basilar artery.

Figure 3: Three dimensional MRA images after intravenous contrast injection shows marked elongation and curved aspect of the basilar artery.

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Correspondence to:

Received by:

Accepted:

The Online Journal of Neurological

Sciences (Turkish) 1984-2013

REFERENCES

1. Ballantyne ES, Page RD, Meaney JF, Nixon TE, Miles JB. Coexistent trigeminal neuralgia, hemifacial spasm, and hypertension: preoperative imaging of neurovascular compression. Case report. J Neurosurg 1994;80:559-563.

2. Eidelman BH, Nielsen VK, Moller M, Jannetta PJ. Vascular compression, hemifacial spasm, and multiple cranial neuropathy. Neurology 1985;35:712-716.

3. Fukuda H, Ishikawa M, Okumura R. Demonstration of neurovascular compression in trigeminal neuralgia and hemifacial spasm with magnetic resonance imaging: comparison with surgical findings in 60 consecutive cases. Surg Neurol 2003;59:93-100.

4. Jannetta PJ. Neurovascular compression in cranial nerve and systemic disease. Ann Surg 1980;192:518-525.

5. Lye RH. Basilar artery ectasia: an unusual cause of trigeminal neuralgia. J Neurol Neurosurg Psychiatry 1986;49:22-28.

6. Nakamura T, Osawa M, Uchiyama S, Iwata M. Arterial hypertension in patients with left primary hemifacial spasm is associated with neurovascular compression of the left rostral ventrolateral medulla. Eur Neurol 2007;57:150-155.

7. Sendeski M, Aguiar PH, Zanetti MV, Teixeria MJ, Cescato VA. Neurovascular compression associated with trigeminal neuralgia and systemic arterial hypertension: surgical treatment. Stereotact Funct Neurosurg 2002;79:284-290.

8. Termote B, Verswijvel G, Palmers Y. Trigeminal neuralgia due to compressive basilar artery. JBR-BTR 2008;91:118-119.

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Şekil

Figure  3:  Three  dimensional  MRA  images  after  intravenous  contrast  injection  shows  marked  elongation  and  curved aspect of the basilar artery

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