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Anesthesia-induced Takotsubo cardiomyopathy in trigeminal neuralgia: illustrative case

Guido Mazzaglia, Giulio Bonomo, Emanuele Rubiu, Paolo Murabito, Alessia Amato, Paolo Ferroli, and Marco Gemma

, trigeminal neuralgia is linked with sudden pain and prolonged suffering that may provoke a physical and psychological stress response. In this paper, we present a case of TS that manifested during induction of anesthesia to perform a surgical microvascular decompression (MVD) of the left trigeminal nerve in a patient with trigeminal neuralgia. We expose the peculiar clinical picture and discuss the possible underlying pathophysiological mechanisms. Illustrative Case We present a case of a 50-year-old female patient scheduled for an MVD who presented immediately

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Middle meningeal artery pseudoaneurysm and pterygoid plexus fistula following percutaneous radiofrequency rhizotomy: illustrative case

Rahim Ismail, Derrek Schartz, Timothy Hoang, and Alexander Kessler

The percutaneous approach to the trigeminal nerve via the foramen ovale originated in the early 20th century from Taptas and Hartel in 1911 and 1913, 1 respectively, with electrocoagulation developed by Rethi in 1913. 2 Over the subsequent century, much advancement in the percutaneous techniques has occurred including chemodenervation, radiofrequency ablation, cryoablation, nerve blocks, Botox injections, nerve stimulation, and balloon decompression. 2 Percutaneous treatment for trigeminal neuralgia is generally considered a well-tolerated procedure, with

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Percutaneous transluminal angioplasty for persistent primitive hypoglossal artery stenosis: illustrative case

Katsuma Iwaki, Koichi Arimura, Shunichi Fukuda, Soh Takagishi, Ryota Kurogi, Kuniyuki Nakamura, Akira Nakamizo, and Koji Yoshimoto

accompanied by PPHA or PPHA stenosis have been treated surgically and endovascularly; however, we did not find reports regarding endovascular treatment for progressive stenosis of the PPHA. 3 , 4 Here, we describe for the first time a case of symptomatic and progressive stenosis of a PPHA that was treated using percutaneous transluminal angioplasty (PTA). Illustrative Case History and Examination A 68-year-old male with trigeminal neuralgia was referred to our hospital. The patient and his family had no history of cerebrovascular diseases, and he was not

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Microvascular decompression of a vertebral artery loop causing cervical radiculopathy: illustrative case

Alexa Semonche, Lorenzo Rinaldo, Young Lee, Todd Dubnicoff, Harlan Matles, Dean Chou, Adib Abla, and Edward F Chang

adapted techniques specific to MVD for trigeminal neuralgia, including Teflon felt and sling transposition. 15–17 Rare cases of vertebral artery transection with end-to-end anastomosis or sacrifice have also been described. 18 , 19 Illustrative Case A 49-year-old man presented with a decades-long history of left-sided neck pain and migraines, which had acutely worsened over the past few years. The pain was exacerbated by neck extension and head turn to the contralateral side. On physical examination, the patient had full strength in all extremities with a