EURORAD ESR

Case 15632

Trigeminal neuralgia

Author(s)
Dr. Juan Lloret; Dr. Santiago Dario Rosati; Dr. Manuel Moreu, Dr. Miguel Yus

Hospital Clínico San Carlos de Madrid, Spain; Email:jllorethoyo@gmail.com
 
Patient
male, 66 year(s)
 
 
  • Figure 1
    Diagnostic Brain MRI
     

    Fiesta Coronal reformat demonstrating multiple vascular structures of small caliber around the intracisternal segment of the right V cranial nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;

    3D TOF Axial showing multiple vascular structures with high flow, extending to the right transverse and sigmoid sinuses, suggesting cerebellar AVM.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Angiography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
  • Figure 2
    Diagnostic Angiography
     

    Oblique right vertebral arteriography shows pial feeding of the AVM with early venous drainage through the superior petrosal sinus to the sigmoid sinus.

     
    Area of Interest: Arteries / Aorta; Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;

    Oblique right internal carotid arteriography shows dural feeding of the AVM with early venous drainage through the superior petrosal sinus to the sigmoid sinus.

     
    Area of Interest: Arteries / Aorta; Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
Fiesta Coronal reformat demonstrating multiple vascular structures of small caliber around the intracisternal segment of the right V cranial nerve.
 
3D TOF Axial showing multiple vascular structures with high flow, extending to the right transverse and sigmoid sinuses, suggesting cerebellar AVM.
 
Oblique right vertebral arteriography shows pial feeding of the AVM with early venous drainage through the superior petrosal sinus to the sigmoid sinus.
 
Oblique right internal carotid arteriography shows dural feeding of the AVM with early venous drainage through the superior petrosal sinus to the sigmoid sinus.
 
 
 
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