Wallenberg’s syndrome and symptomatic trigeminal neuralgia

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.

Diffusion Tensor Imaging in Episodic Cluster Headache

“…The pain of CH is mediated via an activation of the first trigeminal branch 29 . Lesions of the trigemino‐sensory system are known to be associated with neuropathic facial pain 30‐32 . Additionally, the left‐sided FA changes of the upper brainstem might correspond to lesions of the central sympathetic pathway.…”

“…29 Lesions of the trigemino-sensory system are known to be associated with neuropathic facial pain. [30][31][32] Additionally, the left-sided FA changes of the upper brainstem might correspond to lesions of the central sympathetic pathway. The central sympathetic pathway projects to the hypothalamus.…”

Intracranial Vertebral Artery Dissection Presenting with Isolated Trigeminal Neuralgia-like Facial Pain

“…According to Hosoya et al the initial symptoms of IVAD most frequently involve severe headache and dizziness (39%), followed by nausea and vomiting (32%), dysarthria, tinnitus, and diplopia (14% each) [1]. Cases of IVAD presenting with facial pain are rare, with only 10 cases reported so far [3][4][5][6][7][8][9][10][11]. Eight of these cases were accompanied by symptoms or signs of medullary ischemia (e.g., dizziness, [4-7,10,11] ataxia, [6-8,10,11] and sensory abnormalities [6,8,10,11]); medullary infarction was confirmed on MRA, which helped the diagnosis of vertebral artery dissection.…”

Tics in TACs: A Step into an Avalanche? Systematic Literature Review and Conclusions

“…Comparing secondary SUNCT/SUNA to ICHD‐3 beta painful trigeminal neuropathy, in other words “secondary TN,” there is some overlap, eg, with respect to herpes zoster, MS and trauma . In addition, arteriovenous malformations, brainstem ischemia, and vertebral artery dissection, as well as Chiari I malformation have also been reported in TN . The most striking difference is found for pituitary adenomas which were associated with SUNCT but do not cause TN.…”