A Trigeminal neuralgia case caused by basilar artery aneursym

Trigeminal neuralgia secondary to vertebrobasilar dolichoectasia and basilar artery aneurysmis is rare. An 85-year-old male patient who takes Carbamazepine for trigeminal neuralgia was presented to the hospital with complaints of speech disorder and weakness on the left side. On cranial imaging, diffusion restriction in the right half of the pons, vertebrobasilar dolicoectasis and fusiform aneurysmatic dilatation in the basilar artery were observed. After the anti-agregan treatment, the patient whose endovascular and surgical treatment was not considered, was discharged (modified Rankin Score-mRS=0). The patient is followed up with Acetylsalicylic acid 100 mg/day and Carbamazepine 400 mg/day drug treatment without any problems.