Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 3 Issue 10

Trigeminal Nerve Atrophy due to Vertebrobasilar Dolichoectasia: A Rare Entity

Ahmad Al Ali1, Ihsan F Shanti2, Zaynab I Shanti3, Bilal F Shanti4* and Hani Al-Ali5

1Specialist Neuroradiologist, Jordanian Ministry of Health, Jordan
2The American Clinic for Interventional Pain and Spine, Amman, Jordan
3Medical Student, Royal College of Surgeons, Dublin, Ireland
4Omnia Pain Consultants, Pain Medicine, Phoenix, Arizona, USA
5Consultant Musculoskeletal Radiologist, Medical Director of Rayone Medical Imaging Center, Jordan

*Corresponding Author: Bilal F Shanti, Omnia Pain Consultants, Pain Medicine, Phoenix, Arizona, USA.

Received: August 16, 2020; Published: September 16, 2020



The term dolichoectasia implies abnormal dilatation and elongation of an artery or vein. In the brain, this condition most commonly affects the vertebrobasilar system. The exact etiologic mechanism of the disease is unknown. However, many theories are suggested such as hypertension, atherosclerosis, and congenital factors (Marfan's disease, Ehlers Danlos disease, autosomal recessive polycystic kidney disease, Fabry disease and sickle cell anemia).

The disease is asymptomatic in most of the cases and thus detected incidentally. However, in minority of patients the disease might be symptomatic and the clinical manifestations include, but not limited to, stroke, brainstem compression, cranial neuropathies (motor and sensory), and hydrocephalus.

Trigeminal atrophy or hypoplasia is a very uncommon condition, usually described in association with Goldenhar-Gorlin syndrome (a complex congenital anomaly) and has not yet been attributed to vertebrobasilar dolichoectasia.

The current case report highlights this rare association of trigeminal nerve atrophy and vertebrobasilar dolichoectasia, leading to hemifacial and corneal anesthesia.

Keywords: Magnetic Resonance Imaging; Trigeminal Atrophy; Vertebrobasilar Dolichoectasia



Citation: Bilal F Shanti., et al. “Trigeminal Nerve Atrophy due to Vertebrobasilar Dolichoectasia: A Rare Entity". Acta Scientific Neurology 3.10 (2020): 09-12.


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