Trigeminal neuralgia

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Chronic right facial pain.

Patient Data

Age: 25 years
Gender: Female

Trigeminal-nerves

mri
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Info

The trigeminal nerve is compressed by a vascular loop. The trigeminal nerve is atrophic and thinned compared to the normal left side.

Case Discussion

The most common cause of trigeminal neuralgia is a compressing loop of an artery (most commonly the superior cerebellar artery) or vein (most commonly the transverse pontine vein) compressing the cisternal portion of the trigeminal nerve at its transition zone

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