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Updated: Apr 12, 2026
Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Trigeminal neuralgia secondary to basilar impression: A case report
Maurus Marques de Almeida Holanda1, Normando Guedes Pereira Neto2, Gustavo de Moura Peixoto2
1Neurosurgeon, Associate Professor of Neurology, Department of Internal Medicine, Federal University of Paraíba (UFPB), João Pessoa, Paraiba, Brazil.
Abstract:
We report a rare case of trigeminal neuralgia. A 23-year-old woman with a history of 1 year of typical trigeminal neuralgia manifested the characteristics of basilar impression. Magnetic resonance imaging (MRI) demonstrated basilar impression, deformity of the posterior fossa with asymmetry of petrous bone, and compression of medulla oblongata in the topography of the odontoid apophysis. The operation was performed through a suboccipital craniectomy. The neuralgia disappeared after surgery and remains completely resolved until today. This is the second reported case of trigeminal neuralgia in a patient with basilar impression in Brazil.
