de Almeida Holanda Maurus Marques, Pereira Neto Normando Guedes, de Moura Peixoto Gustavo, Pinheiro Santos Rayan Haquim
Neurosurgeon, Associate Professor of Neurology, Department of Internal Medicine, Federal University of Paraíba (UFPB), João Pessoa, Paraiba, Brazil.
Medical Students, Federal University of Paraíba (UFPB), João Pessoa, Paraiba, Brazil.
J Craniovertebr Junction Spine. 2015 Apr-Jun;6(2):76-8. doi: 10.4103/0974-8237.156062.
We report a rare case of trigeminal neuralgia. A 23-year-old woman with a history of 1 year of typical trigeminal neuralgia manifested the characteristics of basilar impression. Magnetic resonance imaging (MRI) demonstrated basilar impression, deformity of the posterior fossa with asymmetry of petrous bone, and compression of medulla oblongata in the topography of the odontoid apophysis. The operation was performed through a suboccipital craniectomy. The neuralgia disappeared after surgery and remains completely resolved until today. This is the second reported case of trigeminal neuralgia in a patient with basilar impression in Brazil.
我们报告一例罕见的三叉神经痛病例。一名有1年典型三叉神经痛病史的23岁女性表现出颅底凹陷的特征。磁共振成像（MRI）显示颅底凹陷、后颅窝畸形伴岩骨不对称，以及齿突骨骺部位对延髓的压迫。手术通过枕下颅骨切除术进行。术后神经痛消失，至今仍完全缓解。这是巴西第二例报告的颅底凹陷患者并发三叉神经痛的病例。
