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KMID : 0359819930220050672
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 5 p.672 ~ p.676
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Trigeminal Neuralgia Caused by a Tortuous and Dilated Vertebral Artery
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김승기
이상형/장웅규/김동규/한대희
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Abstract
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The authors present a 67-year-old man who developed trigeminal neuralgia caused by a dolichoectatic vertebrobasilar artery. Brain magnetic resonance imaging showed a tubular structure traversed the anterior surface of the brainstem. which
compressed the
left ventrolateral pons in the region of the trigeminal root entry zone. Vertebral angiography demonstrated a tortuous dilated vertebrobasilar artery.
Microvascular decompression of the trigeminal nerve from the dolichoectatic vertebral artery and simultaneous selective trigeminal rhizotomy were performed. Postoperatively, the patient was relieved of pain but suffered a hearing deficit in the
ipsilateral side.
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KEYWORD
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