Choudhari Kishor A
Department of Neurosurgery, Regional Neurosciences Unit, Royal Victoria Hospital, Belfast BT12 6BA, UK.
Clin Neurol Neurosurg. 2007 Feb;109(2):203-5. doi: 10.1016/j.clineuro.2006.09.009. Epub 2006 Nov 13.
The author describes a rare case of trigeminal neuralgia where four major named vessels of the posterior circulation were detected to be in close approximation to the trigeminal nerve. The quadruple vessel compression included a tortuous dilated basilar trunk, ipsilateral anterior inferior cerebellar artery, a superior cerebellar artery and superior petrosal vein. All vessels were related to the root entry zone of the nerve. Significance of such a multiple vessel neuovascular conflict at the root entry zone is discussed, highlighting technical implications during surgical management and its prognostic relevance.
作者描述了一例罕见的三叉神经痛病例，其中检测到后循环的四条主要命名血管与三叉神经紧密相邻。四重血管压迫包括迂曲扩张的基底动脉干、同侧小脑前下动脉、小脑上动脉和岩上静脉。所有血管均与神经的神经根入区相关。讨论了神经根入区这种多血管神经血管冲突的意义，强调了手术治疗中的技术影响及其预后相关性。
