Abstract
We present a case of trigeminal neuralgia caused by vertebrobasilar dolicho ectasia treated with micro vascular decompression. A 56-year-old presented with recurrent lancinating left facial pain in V2 and V3 trigeminal territories. On Evaluation, found to have Dolicho ectasia of vertebro basilar artery system causing compression over trigeminal nerve. On initial conservative management patient had temporary relief with resurgence of pain in increased in severity and number of episodes of facial pain. He underwent Retro mastoid craniotomy and micro vascular decompression of trigeminal neuralgia.
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