Türk Beyin Damar Hast Derg. 2021; 27(2): 175-178 | DOI: 10.5505/tbdhd.2020.34711

Baziler arter anevrizmasýnýn neden olduðu trigeminal nevralji olgusu

Murat Cabalar, Didem Girgin, Hacý Ali Erdoðan, Vildan Yayla
Saðlýk Bilimleri Üniversitesi, Bakýrköy Dr. Sadi Konuk Araþtýrma ve Uygulama Hastanesi, Nöroloji Kliniði, Ýstanbul

Vertebrobaziler dolikotoektazi ve baziler arter anevrizmasýna sekonder trigeminal nevralji nadirdir. 85 yaþýnda, trigeminal nevralji nedeniyle Karbamazepin kullanan erkek hasta, konuþma bozukluðu ve sol tarafýnda kuvvetsizlik þikayeti ile geldi. Kranial görüntülemelerinde pons sað yarýsýnda difüzyon kýsýtlamasý, vertebrobaziler dolikoektazi ve baziller arterde fusiform anevrizmatik dilatasyon izlendi. Antiagregan tedavi sonrasýnda endovasküler tedavi ve cerrahi tedavi düþünülmeyen hasta taburcu edildi (modified Rankin Score-mRS=0). Asetil salisilik asit 100 mg/gün ve Karbamezepin 400 mg/gün tedavisi ile hasta sorunsuz bir þekilde takip edilmektedir.

Anahtar Kelimeler: Trigeminal nevralji, anevrizma, karbamazepin.

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A Trigeminal neuralgia case caused by basilar artery aneursym

Murat Cabalar, Didem Girgin, Hacý Ali Erdoðan, Vildan Yayla
University of Health Sciences, Bakirkoy Dr. Sadi Konuk Research and Practice Hospital, Neurology Clinic, Istanbul

Trigeminal neuralgia secondary to vertebrobasilar dolichoectasia and basilar artery aneurysmis is rare. An 85-year-old male patient who takes Carbamazepine for trigeminal neuralgia was presented to the hospital with complaints of speech disorder and weakness on the left side. On cranial imaging, diffusion restriction in the right half of the pons, vertebrobasilar dolicoectasis and fusiform aneurysmatic dilatation in the basilar artery were observed. After the anti-agregan treatment, the patient whose endovascular and surgical treatment was not considered, was discharged (modified Rankin Score-mRS=0). The patient is followed up with Acetylsalicylic acid 100 mg/day and Carbamazepine 400 mg/day drug treatment without any problems.

Keywords: Trigeminal neuralgia, aneurysm, carbamezepine.

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