Neurovascular compression in patients with stress-related somatic complaints

This case series explores the complex interplay between stress-related somatic complaints and neurovascular compression, specifically focusing on anterior inferior cerebellar artery (AICA) vascular loops. Three female patients presented with diverse neurological symptoms, including facial discomfort, vertigo, tinnitus, and headache, often accompanied by anxiety and psychosocial stressors. Magnetic resonance imaging revealed AICA loops in all patients (unilateral in two, bilateral in one). While the AICA loops may contribute to the symptom complex, all patients experienced significant improvement with combined psychotropic (selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, antipsychotics) and neuropharmacological (propranolol) treatment. This suggests a significant role of psychological factors and highlights the importance of a holistic approach. This series underscores the need for clinicians to consider neurovascular compression syndromes in patients with stress-related somatic complaints and emphasizes the potential benefit of a multidisciplinary approach involving both neurological and psychiatric perspectives. Further research is warranted to clarify the precise role of AICA loops in these presentations and optimize therapeutic strategies.