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Journal of Craniovertebral Junction and Spine
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Year : 2015  |  Volume : 6  |  Issue : 2  |  Page : 76-78

Trigeminal neuralgia secondary to basilar impression: A case report

1 Neurosurgeon, Associate Professor of Neurology, Department of Internal Medicine, Federal University of Paraíba (UFPB), João Pessoa, Paraiba, Brazil
2 Medical Students, Federal University of Paraíba (UFPB), João Pessoa, Paraiba, Brazil

Correspondence Address:
Dr. Maurus Marques de Almeida Holanda
Rua Borja Peregrino, 191, João Pessoa, Paraíba
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-8237.156062

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We report a rare case of trigeminal neuralgia. A 23-year-old woman with a history of 1 year of typical trigeminal neuralgia manifested the characteristics of basilar impression. Magnetic resonance imaging (MRI) demonstrated basilar impression, deformity of the posterior fossa with asymmetry of petrous bone, and compression of medulla oblongata in the topography of the odontoid apophysis. The operation was performed through a suboccipital craniectomy. The neuralgia disappeared after surgery and remains completely resolved until today. This is the second reported case of trigeminal neuralgia in a patient with basilar impression in Brazil.

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