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  • Title: Neurovascular compression in painful tic convulsif.
    Author: Fonoff ET, Araújo VP, de Oliveira YS, Teixeira MJ.
    Journal: Acta Neurochir (Wien); 2009 Aug; 151(8):989-93. PubMed ID: 19396392.
    Abstract:
    This article describes the case of a 67-year-old woman who presented with a typical left hemifacial spasm of 8-month duration. After 2 months, she experienced lacinating and sharp shock-like pain in the left side of her face affecting the V1 and V2 territories and a discrete attenuation of nauseous reflex on the left side. CT angiography and MRI revealed significant compression of left cranial nerves V, VII, VIII, IX and X by a giant and tortuous vertebro-basilar arterial complex. This case illustrates the nonlinearity of the relationship between the presence of the stressor factor and the actual manifestation of the disease.
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