Trigeminal neuralgia and hemifacial spasm caused by a tortuous vertebrobasilar system.
The case of a 66-year-old woman who developed both trigeminal neuralgia and hemifacial spasm caused by a tortuous vertebrobasilar system is reported. Vertebral angiography showed a dilated and elongated basilar artery overlying the porus acusticus of the internal auditory canal. Double-contrast computed tomography scanning was very useful in evaluating this abnormality. Vascular decompression was performed by using a fenestration clip.
D000368:Aged; D001488:Basilar Artery / Q000000981:diagnostic imaging; D005152:Facial Muscles; D005260:Female; D006801:Humans; D013035:Spasm / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014277:Trigeminal Neuralgia / Q000000981:diagnostic imaging / Q000209:etiology*; D014652:Vascular Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014711:Vertebral Artery / Q000000981:diagnostic imaging