Here we present the case of a 50-year-old man suffering from "painful tic convulsif", on the left side of the face, i.e., left trigeminal neuralgia associated with ipsilateral hemifacial spasm. An angio-MRI scan showed a neurovascular confliction of left superior cerebellar artery with the ipsilateral V cranial nerve and of the left inferior cerebellar artery with the ipsilateral VII cranial nerve. Neurophysiological evaluation through esteroceptive blink reflex showed the involvement of left facial nerve. An initial carbamazepine treatment (800 mg/daily) was completely ineffective, so the patient was shifted to lamotrigine 50 b.i.d. that was able to reduce attacks from 4 to 6 times per day to 1 to 2 per week. Considering the good response to the drug, the neurosurgeon decided to delay surgical treatment.

Giglia, G., Romano, M., Paladino, P., Virzì, V., Narese, F., Palermo A, et al. (2011). A painful tic convulsif due to double neurovascular impingement. THE JOURNAL OF HEADACHE AND PAIN, 12(6), 653-656 [10.1007/s10194-011-0370-0].

A painful tic convulsif due to double neurovascular impingement.

GIGLIA, Giuseppe;PALADINO, Piera;PALERMO, Antonio;FIERRO, Brigida;BRIGHINA, Filippo
2011-01-01

Abstract

Here we present the case of a 50-year-old man suffering from "painful tic convulsif", on the left side of the face, i.e., left trigeminal neuralgia associated with ipsilateral hemifacial spasm. An angio-MRI scan showed a neurovascular confliction of left superior cerebellar artery with the ipsilateral V cranial nerve and of the left inferior cerebellar artery with the ipsilateral VII cranial nerve. Neurophysiological evaluation through esteroceptive blink reflex showed the involvement of left facial nerve. An initial carbamazepine treatment (800 mg/daily) was completely ineffective, so the patient was shifted to lamotrigine 50 b.i.d. that was able to reduce attacks from 4 to 6 times per day to 1 to 2 per week. Considering the good response to the drug, the neurosurgeon decided to delay surgical treatment.
Settore BIO/09 - Fisiologia
Settore MED/26 - Neurologia
Giglia, G., Romano, M., Paladino, P., Virzì, V., Narese, F., Palermo A, et al. (2011). A painful tic convulsif due to double neurovascular impingement. THE JOURNAL OF HEADACHE AND PAIN, 12(6), 653-656 [10.1007/s10194-011-0370-0].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/57663
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