Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/2273 |
Resumo: | 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. KEYWORDS Basilar artery; Cirsoid dolichoectasia; Corneal reflex; Trigeminal neuralgia. |
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Brazilian Dental Science |
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Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical reportObjective: 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. KEYWORDS Basilar artery; Cirsoid dolichoectasia; Corneal reflex; Trigeminal neuralgia.Institute of Science and Technology of São José dos Campos2020-12-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/227310.14295/bds.2021.v24i1.2273Brazilian Dental Science; Vol. 24 No. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 7 PBrazilian Dental Science; v. 24 n. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 7 P2178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/2273/4246Copyright (c) 2020 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessKhan, Zafar Ali Khan AliKhan, Shammas Raza Khan RazaMehmood, TariqAsghar, Chaudhary UmarAhmed, Naseer2021-03-30T12:45:03Zoai:ojs.pkp.sfu.ca:article/2273Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:33.926426Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
title |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
spellingShingle |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report Khan, Zafar Ali Khan Ali |
title_short |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
title_full |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
title_fullStr |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
title_full_unstemmed |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
title_sort |
Basilar artery dolichoectasia an unusual and rare cause of secondary trigeminal neuralgia: a clinical report |
author |
Khan, Zafar Ali Khan Ali |
author_facet |
Khan, Zafar Ali Khan Ali Khan, Shammas Raza Khan Raza Mehmood, Tariq Asghar, Chaudhary Umar Ahmed, Naseer |
author_role |
author |
author2 |
Khan, Shammas Raza Khan Raza Mehmood, Tariq Asghar, Chaudhary Umar Ahmed, Naseer |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Khan, Zafar Ali Khan Ali Khan, Shammas Raza Khan Raza Mehmood, Tariq Asghar, Chaudhary Umar Ahmed, Naseer |
description |
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. KEYWORDS Basilar artery; Cirsoid dolichoectasia; Corneal reflex; Trigeminal neuralgia. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2273 10.14295/bds.2021.v24i1.2273 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/2273 |
identifier_str_mv |
10.14295/bds.2021.v24i1.2273 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2273/4246 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 24 No. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 7 P Brazilian Dental Science; v. 24 n. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 7 P 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
_version_ |
1788346901843673088 |