AI Summary & Key Takeaways
AI InsightThe patient is followed up with Acetylsalicylic acid 100 mg/day and Carbamazepine 400 mg/day drug treatment without any problems.
📌 3 Key Takeaways
Abstract
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 antiagregan 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.
Özet
Vertebrobaziler dolikotoektazi ve baziler arter anevrizmasına sekonder trigeminal nevralji nadirdir. 85 yaşında, trigeminal nevralji nedeniyle Karbamazepin kullanan erkek hasta, konuşma bozukluğu ve sol tarafında kuvvetsizlik şikayeti ile geldi. Kranial görüntülemelerinde pons sağ yarısında difüzyon kısıtlaması, vertebrobaziler dolikoektazi ve baziller arterde fusiform anevrizmatik dilatasyon izlendi. Antiagregan tedavi sonrasında endovasküler tedavi ve cerrahi tedavi düşünülmeyen hasta taburcu edildi (modified Rankin Score-mRS=0). Asetil salisilik asit 100 mg/gün ve Karbamezepin 400 mg/gün tedavisi ile hasta sorunsuz bir şekilde takip edilmektedir.