Case Report: A 68 year old man had a trigeminal nerve pain in V1 and V2 on the left side, because
of a neurovascular conflict with an ectasic dolichobasilar artery. With pain reducing
medication he was almost pain free, but he had some severe side effects with carbamazepine
(anaphylactic reaction level II) and phenytoin. So we recommended do a transposition
of the dolichobsilar artery with a Teflon sling.
The outcome shows an immediately pain free episode for 2 weeks. Then he had some pain
attacks for 2 weeks more, which disappeared completely 2 weeks later. The postoperative
MRI shows a stable distance of some millimeters.
