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Date Published: 31/03/2024
Online Published: 31/03/2024
Abstract Views: 2
Views pdf: 3
Issue
No. 54 (2024)
Section
Scientific research
How to Cite
Nguyen , N. Q., Nguyen , D. H., & Le, T. D. (2024). . Vietnamese Journal of Radiology and Nuclear Medicine, 54, 90-93. https://vjrnm.edu.vn/index.php/vjrnm/article/view/996

Nguyen Nhat Quang1,, Nguyen Duy Hung2, Le Thanh Dung3
1 Department of Diagnostic Imaging, Viet Duc Friendship Hospital
2 Department of Diagnostic Imaging, Hanoi Medical University.
3 Department of Diagnostic Imaging, Hanoi Medical University

Main Article Content

Abstract

The 59-year-old male patient was admitted to the hospital for symptoms of facial pain on the left side. The onset of the disease 5 years ago. Cranial magnetic resonance imaging with 3D T2W pulse sequence and injection shows images of developmental venous anomaly (DVA) where the left cerebellar peduncle is enlarged and drained to the superior petrosal vein, compressing the nerve exit zone (REZ). The patient underwent microvascular decompression surgery (MVD), after surgery, the patient is now almost asymptomatic, no need to take additional analgesics. Routine magnetic resonance imaging combined with T2W 3D, TOF 3D, T1W 3D pulse sequences after Gadolium injection is recommended to detect the causes of vascular nerve conflict.

Article Details

Keywords

Trigeminal neuralgia, Developmental venous anomaly, Microvascular decompression, Root exit zone, MRI

References

1. Zakrzewska JM, McMillan R. Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain. Postgrad Med J. 2011;87(1028):410-416. doi:10.1136/pgmj.2009.080473
2. Svedung Wettervik T, Snel D, Kristiansson P, Ericson H, Abu Hamdeh S. Incidence of trigeminal neuralgia: A population-based study in Central Sweden. European Journal of Pain. n/a(n/a). doi:10.1002/ejp.2081
3. Bùi Huy M. Nghiên cứu ứng dụng vi phẫu thuật giải ép thần kinh trong điều trị đau dây V. Thesis. 2016. Accessed May 13, 2023. http://dulieuso.hmu.edu.vn/handle/hmu/2227
4. Korinth MC, Moller-Hartmann W, Gilsbach JM. Microvascular decompression of a developmental venous anomaly in the cerebellopontine angle causing trigeminal neuralgia. Br J Neurosurg. 2002;16(1):52-55. doi:10.1080/02688690120114228
5. Matsushima T, Huynh-Le P, Miyazono M. Trigeminal neuralgia caused by venous compression. Neurosurgery. 2004;55(2):334-337; discussion 338-339. doi:10.1227/01.neu.0000129552.87291.87
6. Küker W, Mull M, Thron A. Developmental venous anomalies of the posterior fossa with transpontine drainage: report of 3 cases. Eur Radiol. 1997;7(6):913-917. doi:10.1007/s003300050227
7. Lasjaunias P, Burrows P, Planet C. Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev. 1986;9(3):233-242. doi:10.1007/BF01743138
8. Acioly MA, Simões EL, Parise M, Telles C, Nigri F. Developmental venous anomaly causing trigeminal neuralgia. Arq Neuropsiquiatr. 2010;68(5):822-825. doi:10.1590/s0004-282x2010000500031
9. Hermier M. Imaging of hemifacial spasm. Neurochirurgie. 2018;64(2):117-123. doi:10.1016/j.neuchi.2018.01.005