Abstract
We report the association of ipsilateral trigemino-autonomic headache to a case of right-sided nuclear facial and abducens palsy (Gasperini syndrome), ipsilateral hypacusis and right hemiataxia, caused by the occlusion of the right anterior inferior cerebellar artery. Short-lasting attacks of mild to moderate ipsilateral fronto-periorbital head pain, accompanied by lacrimation and mild conjunctival injection during more severe attacks, were present from the onset of symptoms, with a gradual worsening over the next few months and remitting during naproxen therapy. Magnetic resonance imaging showed an infarct in the right cerebellar peduncle, extending toward the pontine tegmentum, also involving the ipsilateral spinal trigeminal nucleus and tract and the trigeminal entry zone. Gasperini syndrome may be accompanied by ipsilateral trigemino-autonomic head pain.
Keywords: Gasperini syndrome, Trigemino-autonomic headache, Anterior inferior cerebellar artery, Infarction
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Consent
The patient described has given written and verbal consent for his case to be published in this report.
Conflict of interest
None.
Glossary
- MRI
Magnetic resonance imaging
- AICA
Anterior inferior cerebellar artery
- CT
Computed tomography
- SUNCT
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing
- MPR
Multiplanar reconstructed (magnetic resonance imaging)
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