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Trigeminal neuralgia and hemifacial spasm caused by a tortuous vertebrobasilar system |
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| Authors: | Y Takamiya S Toya T Kawase N Takenaka H Shiga |
| Affiliation: | Departments of Neurosurgery and Diagnostic Radiology, Keio University, Tokyo, Japan |
| Abstract: | The case of a 66-year-old woman who developed both trigeminal neuralgia and hemifacial spasm caused by a tortuous vertebrobasilar system is reported. Vertebral angiography showed a dilated and elongated basilar artery overlying the porus acusticus of the internal auditory canal. Double-contrast computed tomography scanning was very useful in evaluating this abnormality. Vascular decompression was performed by using a fenestration clip. |
| Keywords: | Trigeminal neuralgia Hemifacial spasm Tortuous vertebrobasilar system Double-contrast computed tomography scan Vascular decompression |
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