Abstract
Symptomatic trigeminal neuralgia due to a brainstem infarction is said to be rare. However, facial pain is not uncommon in Wallenberg’s syndrome. Facial pain related to a Wallenberg’s syndrome may be either persistent of intermittent, and occasionally occurs in brief attacks. Here, we report a patient with a right lateral medullary infarction who started having first division trigeminal neuralgia 1 month after the stroke. The pain paroxysms were suppressed with gabapentin.
Highlights
Symptomatic trigeminal neuralgia (TN) is caused by a demonstrable structural lesion other than vascular compression, typically posterior fossa tumors or multiple sclerosis [1, 2]
It is widely accepted that the commonest cause of TN is compression of the trigeminal root entry zone by a blood vessel
Symptomatic TN accounts for 15% of cases of NT, and the majority of these are caused by cerebellopontine angle tumors or multiple sclerosis [2]
Summary
This article is published with open access at Springerlink.com
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