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A 56-year-old man with intense facial pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

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Presentation on theme: "A 56-year-old man with intense facial pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology."— Presentation transcript:

1 A 56-year-old man with intense facial pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology

2 Saglam et al. Episodic intense facial pain for 3 months located in the area of the left cheek Normal facial sensation and corneal reflex bilaterally © 2014 American Academy of Neurology Vignette

3 Saglam et al. Imaging © 2014 American Academy of Neurology

4 Saglam et al. Imaging © 2014 American Academy of Neurology

5 A rare cause of trigeminal neuralgia: dysplastic venous aneurysm of dural arteriovenous fistula Trigeminal neuralgia is a common neuropathic disorder characterized by episodes of intense pain in the face. Vascular compression of the root entry zone of the trigeminal nerve is the most common cause of trigeminal neuralgia. Despite the offending vessel is frequently an artery, trigeminal neuralgia cases resulting from venous compression of the nerve root are also reported. A dysplastic venous aneurysm may be a rare cause of trigeminal neuralgia due to compression of trigeminal nerve. Saglam et al. © 2014 American Academy of Neurology

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