Hemibody pain relieved by microvascular decompression of the contralateral caudal medulla: case report.

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

Pain

journal_title

Pain

authors

Simpson BA,Amato-Watkins A,Hourihan MD

doi

10.1016/j.pain.2014.04.023

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

1667-1672

issue

8

eissn

0304-3959

issn

1872-6623

pii

00006396-201408000-00030

journal_volume

155

pub_type

杂志文章

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