Abstract:
:Microvascular decompression (MVD) of cranial nerves has become an established treatment for trigeminal and (vago)glossopharyngeal neuralgia and for hemifacial spasm. The authors present the case of a 64-year-old man who had a 3.5-year history of severe, drug-resistant hemibody pain with sensory and autonomic disturbance. The ipsilateral trigeminal, cochlear, and glossopharyngeal function also was affected. The contralateral posterior inferior cerebellar artery was seen on magnetic resonance imaging to be indenting the caudal medulla anterolaterally, causing displacement. After MVD of the medulla, there was an immediate and complete resolution of the pain and almost complete resolution of the sensory and autonomic disturbances. The pain later recurred mildly and transiently. The residual symptoms had resolved by 2 years.
journal_name
Painjournal_title
Painauthors
Simpson BA,Amato-Watkins A,Hourihan MDdoi
10.1016/j.pain.2014.04.023subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1667-1672issue
8eissn
0304-3959issn
1872-6623pii
00006396-201408000-00030journal_volume
155pub_type
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