Trigeminal neuralgia caused by a transfixed arterial loop: illustrative case
For type 1 penetrations, the authors suggest separating the motor and sensory roots, then mobilizing the motor root and artery. For type 2, they recommend either internal neurolysis with distal movement of the artery or horizontal transection to free the artery from the nerve. Patient-centered planning that balances risk of sensory loss against symptom recurrence is essential. https://thejns.org/doi/10.3171/CASE25403.
Authors
- Abdulrahman Albakr (ORCID: https://orcid.org/0000-0003-0390-7292)
- Badih Adada (ORCID: https://orcid.org/0000-0002-2432-6924)
- Natalia Jedlinska-Obrzut
- Mohammadmahdi Sabahi
- Hamid Borghei-Razavi
- Sydney Kukla
Institutions
- University of Medicine and Health Sciences (KN)
- King Saud University (SA)
- Ross University School of Veterinary Medicine (KN)
- Cleveland Clinic Lerner College of Medicine (US)
- Cleveland Clinic Florida (US)
- University School (US)
- The Neurological Institute (US)
- Case Western Reserve University (US)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-12-29
- DOI
- https://doi.org/10.3171/case25403
- Primary Topic
- Trigeminal Neuralgia and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00