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IP Indian Journal of Neurosciences

Dolicho ectasia of vertebro basilar artery presenting as Trigeminal neuralgia: Case report

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Author Details: Shigha Koli Ramesh, Subodh Raju

Volume : 3

Issue : 2

Online ISSN : 2581-916X

Print ISSN : 2581-8236

Article First Page : 70

Article End Page : 71


We present a case of trigeminal neuralgia caused by vertebrobasilar dolicho ectasia treated with micro vascular decompression. A 56-year-old presented with recurrent lancinating left facial pain in V2 and V3 trigeminal territories. On Evaluation, found to have Dolicho ectasia of vertebro basilar artery system causing compression over trigeminal nerve. On initial conservative management patient had temporary relief with resurgence of pain in increased in severity and number of episodes of facial pain. He underwent Retro mastoid craniotomy and micro vascular decompression of trigeminal neuralgia.