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Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report / Dolicoectasia da artéria basilar uma causa incomum e rara de neuralgia do trigêmeo secundária: um relato clínico
Khan, Zafar Ali; Khan, Shammas Raza; Mehmood, Tariq; Asghar, Chaudhary Umar; Ahmed, Naseer.
  • Khan, Zafar Ali; Jouf University. College of Dentistry. Department Oral & Maxillofacial Surgery. Kingdom. SA
  • Khan, Shammas Raza; King Salman Specialist hospital. Kingdom. SA
  • Mehmood, Tariq; District Head Quarter Hospital Abbottabad. PK
  • Asghar, Chaudhary Umar; Frontier Medical and Dental College. PK
  • Ahmed, Naseer; Altamash Institute of Dental Medicine. Department of Prosthodontics. PK
Braz. dent. sci ; 24(1): 1-7, 2021. ilus
Article in English | BBO, LILACS | ID: biblio-1145575
ABSTRACT

Objective:

Patients with Trigeminal Neuralgia often consults a dentist for relief of their symptoms as the pain seems to be arising from teeth and allied oral structures. Basilar artery Dolichoectasia is an unusual and very rare cause of secondary Trigeminal Neuralgia as it compresses the Trigeminal nerve Root Entry Zone. Case reports We report three cases of Trigeminal Neuralgia caused by Basilar artery Dolichoectasia compression. The corneal reflex was found absent in all three of the cases along with mild neurological deficits in one case. Multiplanar T1/T2W images through the brain disclosed an aberrant, cirsoid (S-shaped) and torturous Dolichoectasia of basilar artery offending the Trigeminal nerve Root Entry Zone.

Discussion:

Based on these findings we propose a protocol for general dentist for diagnosis of patients with trigeminal neuralgia and timely exclusion of secondary intracranial causes.

Conclusion:

General dentists and oral surgeons ought to consider this diagnosis in patients presenting with chronic facial pain especially pain mimicking neuralgia with loss of corneal reflex or other neurosensory deficit on the face along with nighttime pain episodes. Timely and accurate diagnosis and prompt referral to a concerned specialist can have an enormous impact on patient survival rate in such cases (AU)
RESUMO

Objetivo:

Pacientes com Neuralgia do Trigêmeo frequentemente consultam um dentista para alívio de seus sintomas visto que a dor parece surgir dos dentes e estruturas orais relacionadas. A Dolicoectasia da artéria basilar é uma causa incomum e muito rara de Neuralgia do Trigêmeo secundária, pois comprime a zona de entrada da raiz do nervo trigêmeo. Relatos de casos Relatamos três casos de Neuralgia do Trigêmeo causada por compressão por Dolicoectasia da artéria basilar. O reflexo da córnea se encontrava ausente em todos os três casos, juntamente com leves déficits neurológicos em um caso. Imagens multiplanares T1/T2W através do cérebro revelaram uma Dolicoectasia cirsóide (em forma de S) anômala e tortuosa da artéria basilar que atingiu a zona de entrada da raiz do nervo trigêmeo. Discussão Com base nesses achados, propomos para o dentista clínico-geral um protocolo para diagnóstico de pacientes com Neuralgia do Trigêmeo e exclusão oportuna de causas intracranianas secundárias.

Conclusão:

Os dentistas clínicos-gerais e cirurgiões orais devem considerar este diagnóstico em pacientes que apresentam dor facial crônica, especialmente dor que mimetiza neuralgia com perda do reflexo da córnea ou outro déficit neurossensorial na face junto com episódios de dor noturna. O diagnóstico oportuno e preciso e o encaminhamento imediato a um especialista em questão podem ter um enorme impacto na taxa de sobrevida do paciente em tais casos (AU)
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Trigeminal Neuralgia / Basilar Artery / Blinking / Facial Pain Type of study: Etiology study / Practice guideline Limits: Humans Language: English Journal: Braz. dent. sci Journal subject: Dentistry / Sa£de Bucal Year: 2021 Type: Article Affiliation country: Pakistan / Saudi Arabia Institution/Affiliation country: Altamash Institute of Dental Medicine/PK / District Head Quarter Hospital Abbottabad/PK / Frontier Medical and Dental College/PK / Jouf University/SA / King Salman Specialist hospital/SA

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Full text: Available Index: LILACS (Americas) Main subject: Trigeminal Neuralgia / Basilar Artery / Blinking / Facial Pain Type of study: Etiology study / Practice guideline Limits: Humans Language: English Journal: Braz. dent. sci Journal subject: Dentistry / Sa£de Bucal Year: 2021 Type: Article Affiliation country: Pakistan / Saudi Arabia Institution/Affiliation country: Altamash Institute of Dental Medicine/PK / District Head Quarter Hospital Abbottabad/PK / Frontier Medical and Dental College/PK / Jouf University/SA / King Salman Specialist hospital/SA