Presentation
Repeated attacks of left facial pain for 4 years.
Patient Data
Age: 60 years
Gender: Male
From the case:
Trigeminal neuralgia
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Right and left vertebral arteries course leftward at the left pontomedullary junction into the left cerebellopontine angle.
Tortuous vertebro-basilar artery coming into contact with and deforming the left trigeminal nerve root entry zone.
Multiple T2/FLAIR high-signal intensity foci without diffusion restriction in bilateral cerebral periventricular white matter suggest leukoaraiosis.
Case Discussion
The features suggest left-side trigeminal neuralgia caused by vertebrobasilar artery compression.
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