A Case of Classical Trigeminal Neuralgia Associated with Bilateral Agenesis of the Internal Carotid Arteries
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- Nishimori Hideta
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587 Japan
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- Makiyama Yasuhide
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Iida Takashi
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587 Japan
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- Kamiyama Hirona
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587 Japan
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- Uchida Takashi
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Nishimura Hitoshi
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Okubo Masakazu
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Shimosaka Michiharu
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Narita Noriyuki
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Hirota Hitoshi
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Niwa Hideo
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan
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- Komiyama Osamu
- Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587, Japan Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587 Japan
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- Kawara Misao
- Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Chiba 271-8587 Japan
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We describe a case of trigeminal neuralgia caused by compensatory enlargement of the basilar artery in a patient with bilateral agenesis of the internal carotid arteries.<br> A 46-year-old man experienced sharp, stabbing pain in the left face when washing his face. In imaging examinations, magnetic resonance imaging(MRI)revealed displacement of the left trigeminal nerve due to basilar artery enlargement and leftward deviation, but no brain tumors or other abnormalities. The left internal carotid artery was not visible on magnetic resonance angiography(MRA), but marked enlargement of bilateral vertebral and basilar arteries was seen, along with considerable leftward deviation of the basilar artery. The anterior and middle cerebral arteries constituting the anterior circulation were bilaterally connected with the posterior communicating artery, which was enlarged. Bilateral internal carotid arteries were vestigially interrupted from the bifurcation of the common carotid artery. No carotid canals were apparent on either side on computed tomography(CT). For his symptoms, we managed his pain using carbamazepine, and instructed to follow a low-salt, low-fat diet and to avoid excessive alcohol consumption.<br> Our case report suggest that imaging examination(e.g. CT, MRA and MRI)are essential when investigating trigeminal neuralgia, in order to visualize the head and neck region and identify any causal vessels and confirm the presence or absence of tumors. In addition, patients with abnormal hemodynamic status such as agenesis of an internal carotid artery or megadolichobasilar anomaly should undergo regular follow-up due to the high risk of cerebral hemorrhage and cerebral infarction.
収録刊行物
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- IJOMS
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IJOMS 14 (4), 91-95, 2016
日本大学松戸歯学部 口腔科学研究所
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詳細情報 詳細情報について
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- CRID
- 1390001205213671424
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- NII論文ID
- 130005142170
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- ISSN
- 21854254
- 13479733
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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