title: Trigeminal neuralgia and persistent trigeminal artery.
abstract: We report a case of trigeminal neuralgia caused by persistent trigeminal artery (PTA) associated with asymptomatic left temporal cavernoma. Our patient presented unstable blood hypertension and the pain of typical trigeminal neuralgia over the second and third divisions of the nerve in the right side of the face. The attacks were often precipitated during physical exertion. MRI and Angio-MRI revealed the persistent carotid basilar anastomosis and occasionally left parietal cavernoma. After drug treatment of blood hypertension, spontaneous recovery of neuralgia was observed and we planned surgical treatment of left temporal cavernoma.
authors.affiliation: Department of Neurological Sciences (Neurosurgery), Second University of Naples, Viale Colli Aminei, 21, 80131, Naples, Italy.
authors.forename: Renata
authors.initials: R
authors.lastname: Conforti
authors.forename: Raffaele Stefano
authors.initials: RS
authors.lastname: Parlato
authors.forename: Danilo
authors.initials: D
authors.lastname: De Paulis
authors.forename: Mario
authors.initials: M
authors.lastname: Cirillo
authors.forename: Valeria
authors.initials: V
authors.lastname: Marrone
authors.forename: Sossio
authors.initials: S
authors.lastname: Cirillo
authors.forename: Aldo
authors.initials: A
authors.lastname: Moraci
authors.forename: Ciro
authors.initials: C
authors.lastname: Parlato
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D014276:Trigeminal Nerve / Q000002:abnormalities / Q000098:blood supply* / Q000000981:diagnostic imaging*; D014277:Trigeminal Neuralgia / Q000000981:diagnostic imaging* / Q000209:etiology