Combined four neurovascular compression syndromes: the first case report and literature review

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Case Report

Akarin Hiransuthikul¹  Kammant Phanthumchinda²  Prakit Anukoolwittaya³  Sekh Thanprasertsuk⁴ 

[1] Department of Preventive Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Headache Disorder Service, Division of Neurology, Department of Medicine, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand;Headache Disorder Service, Division of Neurology, Department of Medicine, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand;Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Chulalongkorn Cognitive Clinical & Computational Neuroscience Special Task Force Research Group, Chulalongkorn University, Bangkok, Thailand;

关键词: Neurovascular compression syndromes;    Glossopharyngeal neuralgia;    Hemifacial spasm;    Type-writer tinnitus;    Vestibular paroxysmia;   

DOI  :  10.1186/s41983-023-00614-w

 received in 2022-01-20, accepted in 2023-01-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundNeurovascular compression syndromes (NVCs) are cranial nerve syndromes caused by direct contact or compression of vascular structures on the cranial nerves at the root exit/entry zone. Cases of combined NVCs are extremely rare.CaseWe reported the first case of a 41-year-old woman with combined four NVCs presenting with left hemifacial spasm followed by simultaneous left glossopharyngeal neuralgia, left type-writer tinnitus and vestibular paroxysmia due to the left posterior inferior cerebellar artery compression at the root exit/entry of the left facial, vestibulocochlear and glossopharyngeal nerves. All the symptoms resolved immediately after microvascular decompression without recurrence in a period of follow-up for one year. In addition, we presented a literature review of combined three or more NVCs.ConclusionWe discussed the hypothesis of combined three or more NVCs development, especially the central hyperactivity of the cranial nerve nuclei mechanism.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1