open access

Vol 73, No 2 (2014)
CASE REPORTS
Published online: 2014-05-30
Submitted: 2013-09-26
Accepted: 2013-10-16
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Trigeminal neuralgia caused by aneurysm of the posterior cerebral artery: a case description and the analysis of anatomical variety of vascular complex in the rood entry zone of trigeminal nerve

J. Dzierżanowski, P. Słoniewski
DOI: 10.5603/FM.2014.0033
·
Folia Morphol 2014;73(2):224-228.

open access

Vol 73, No 2 (2014)
CASE REPORTS
Published online: 2014-05-30
Submitted: 2013-09-26
Accepted: 2013-10-16

Abstract

Trigeminal neuralgia is still a riddle, especially in the pathophysiology of the ticdouloureux, although the problem has been described in many medical publications. The major theory of pain based on the compression of the Vth nerve by tumours or vessels in the rood entry zone (REZ) does not explain the facial pain in patient without neurovascular conflict, with multiple sclerosis or with conflict in places other than REZ. We report a case of the posterior cerebral artery aneurysm, which caused the isolated trigeminal neuralgia in a 48-year-old woman. She was operated on through microvascular decompression and the aneurysm was wrapped. In the second part of this study we review morphological variations of the neurovascular conflict on the basis of anatomical publications.

Abstract

Trigeminal neuralgia is still a riddle, especially in the pathophysiology of the ticdouloureux, although the problem has been described in many medical publications. The major theory of pain based on the compression of the Vth nerve by tumours or vessels in the rood entry zone (REZ) does not explain the facial pain in patient without neurovascular conflict, with multiple sclerosis or with conflict in places other than REZ. We report a case of the posterior cerebral artery aneurysm, which caused the isolated trigeminal neuralgia in a 48-year-old woman. She was operated on through microvascular decompression and the aneurysm was wrapped. In the second part of this study we review morphological variations of the neurovascular conflict on the basis of anatomical publications.
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Keywords

trigeminal neuralgia, intracranial aneurysm, posterior cerebral artery, microvascular decompression, neurovascular conflict

About this article
Title

Trigeminal neuralgia caused by aneurysm of the posterior cerebral artery: a case description and the analysis of anatomical variety of vascular complex in the rood entry zone of trigeminal nerve

Journal

Folia Morphologica

Issue

Vol 73, No 2 (2014)

Pages

224-228

Published online

2014-05-30

DOI

10.5603/FM.2014.0033

Bibliographic record

Folia Morphol 2014;73(2):224-228.

Keywords

trigeminal neuralgia
intracranial aneurysm
posterior cerebral artery
microvascular decompression
neurovascular conflict

Authors

J. Dzierżanowski
P. Słoniewski

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