13 December 2021: Articles
Use of High-Resolution Magnetic Resonance Imaging (MRI) for Radiological Diagnosis of Neurovascular Conflict: A Case Report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Rare disease
Arturs Balodis A* , Raimonds Mikijanskis B , Linda Helēna Saulkalne B , Ramona Valante DDOI: 10.12659/AJCR.933566
Am J Case Rep 2021; 22:e933566
Figure 2. Patient B. (A) The second head magnetic resonance imaging (MRI) scan (Siemens Magnetom Avanto 1.5 T). A high-resolution, T2-weighted multiplanar reconstruction (MPR) thin slice. The MRI scan shows no visible deformation in the left trigeminal nerve. (B) A second head MRI scan (Siemens Magnetom Avanto 1.5 T). A high-resolution, T2-weighted MPR thick image. The MRI scan shows more detailed vessel structure on the left side, near the outlet of the left trigeminal serve, but the 2 structures are not closely attached. The image provided no convincing evidence of an NVC. (C) An intraoperative image from Dr. R. Mikijanskis’s archives. A minimal effect is visible from the left superior cerebellar artery and the NVC with the left petrosa vein and its perpendicular detaching branch. (D) An intraoperative image from Dr. R. Mikijanskis’s archives. Teflon material is inserted between the nerve and vessels.