Niijima K H, Kondo A, Ishikawa J, Kim C, Itoh H
Neurosurgery. 1984 Oct;15(4):562-5. doi: 10.1227/00006123-198410000-00018.
A 24-year-old woman suffering from left trigeminal neuralgia presented with the familial occurrence of skeletal anomalies simulating Hajdu-Cheney syndrome. She was of a short stature and had low-set ears, protrusion of the bilateral temporal and occipital bones, platybasia, basilar impression, and dental anomaly. Vertebral angiography disclosed marked displacement to the left and dorsally of the basilar artery, which was confirmed during the operation to have compressed the left trigeminal nerve in the cerebellopontine angle narrowed by the unusually protruded bony structure. Cases of Hajdu-Cheney syndrome have occasionally been reported, a few combined with facial spasm, but Hajdu-Cheney syndrome with trigeminal neuralgia is very rare. The patient's family members were surveyed. The possible cause of the neuralgia with its relation to the osteodysplasia is briefly discussed.
一名患有左侧三叉神经痛的24岁女性表现出类似Hajdu-Cheney综合征的骨骼异常家族性发病情况。她身材矮小,耳朵位置较低,双侧颞骨和枕骨突出,颅底扁平,颅底陷入,并有牙齿异常。椎动脉造影显示基底动脉明显向左和背侧移位,手术中证实该动脉在小脑脑桥角处压迫了左侧三叉神经,此处因异常突出的骨质结构而变窄。偶尔有Hajdu-Cheney综合征的病例报道,少数合并面部痉挛,但伴有三叉神经痛的Hajdu-Cheney综合征非常罕见。对患者的家庭成员进行了调查。简要讨论了神经痛的可能病因及其与骨发育异常的关系。