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Case Reports
. 2011 Jun;12(3):377-80.
doi: 10.1007/s10194-011-0305-9. Epub 2011 Feb 10.

Wallenberg's syndrome and symptomatic trigeminal neuralgia

Carlos M Ordás  1 , María L Cuadrado, Patricia Simal, Raúl Barahona, Javier Casas, Jordi Matías-Guiu Antem, Jesús Porta-Etessam
Affiliations
Case Reports

Wallenberg's syndrome and symptomatic trigeminal neuralgia

Carlos M Ordás et al. J Headache Pain. 2011 Jun.

Abstract

Symptomatic trigeminal neuralgia due to a brainstem infarction is said to be rare. However, facial pain is not uncommon in Wallenberg's syndrome. Facial pain related to a Wallenberg's syndrome may be either persistent of intermittent, and occasionally occurs in brief attacks. Here, we report a patient with a right lateral medullary infarction who started having first division trigeminal neuralgia 1 month after the stroke. The pain paroxysms were suppressed with gabapentin.

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Figures

Fig. 1
Fig. 1
Magnetic resonance imaging (MRI). a Axial T2-weighted FLAIR MRI shows slight hyperintensities in the right lateral medulla and right cerebellum. b Diffusion-weighted MRI demonstrates restricted water motion in the lesion shown in a, indicating recent infarction
Fig. 2
Fig. 2
Magnetic resonance angiography (MRA). Coronal maximum intensity projection from MRA reveals occlusion of the right vertebral artery, which is likely due to artery dissection
See this image and copyright information in PMC

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