Department of Neurosurgery, King Edward VII Memorial Hospital and Seth G. S. Medical College, Parel, Mumbai, India.
J Neurosurg. 2009 Dec;111(6):1220-2. doi: 10.3171/2009.6.JNS09469.
This 65-year-old woman presented with a 7-year history of classic trigeminal neuralgia. After a conservative therapeutic approach and because the pain had become unbearable, she was subjected to surgical treatment. Examinations revealed an ectatic basilar artery that indented deeply into the region of the root entry zone of cranial nerve V. Additionally, severe basilar invagination, the fusion of multiple cervical vertebrae, and partial agenesis of the clivus were observed. Foramen magnum decompression resulted in lasting relief from the pain. The authors discuss the pathogenesis of trigeminal neuralgia in a relatively rare clinical situation.
这位 65 岁女性因 7 年的典型三叉神经痛就诊。在保守治疗后，由于疼痛变得难以忍受，她接受了手术治疗。检查发现扩张的基底动脉深深地压入颅神经 V 的神经根入口区。此外，还观察到严重的基底凹陷、多个颈椎融合和部分斜坡发育不全。颅颈交界减压术使疼痛得到持久缓解。作者讨论了一种相对罕见的临床情况下三叉神经痛的发病机制。
