Trigeminal neuralgia (TN): neurovascular causes

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Trigeminal neuralgia (TN): neurovascular causes. Basilar artery, Superior cerebellar artery. Fully referenced neurology checklist.

Neurovascular compression

  • Basilar artery
  • Superior cerebellar artery
  • Inferior cerebellar artery
  • Vertebral artery
  • Anterior inferior cerebellar artery
  • Persistent primitive trigeminal artery
  • Trigeminocerebellar artery
  • Anomalous arteries
  • Venous compression (neurovascular conflict, NVC)
  • Entry root varix
  • Vertebrobasilar dolichoectasia

Posterior fossa vascular lesions

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References

  1. Bendtsen L, Zakrzewska JM, Abbott J, et al. European Academy of Neurology guideline on trigeminal neuralgia. Eur J Neurol 2019; 26:831-849.
  2. Yoshida M, Asano M. Direct compression by megadolichobasilar anomaly as a cause of trigeminal neuralgia; a case diagnosed by MRI. Tohoku J Exp Med 1994; 172:327-232.
  3. Ros de San Pedro J. Superior cerebellar artery aneurysms causing facial pain: a comprehensive review. Oper Neurosurg (Hagerstown) 2019; pii: opz092 (Epub ahead of print).
  4. Li ZY, Liang JT, Zhang HQ, Bao YH, Ling F. Trigeminal neuralgia caused by a dilated superior cerebellar artery and a draining vein of cerebellar arteriovenous malformations: a case report and review of the literature. Acta Neurochir (Wien) 2017; 159:689-694.
  5. Fukuda M, Kameyama S, Takahashi H, Tanaka R. Trigeminal neuralgia caused by the vertebral artery associated with primitive trigeminal artery and agenesis of the internal carotid artery. Neurol Med Chir (Tokyo) 1998; 38:367-370.
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