Wallenberg's syndrome and symptomatic trigeminal neuralgia

J Headache Pain. 2011 Jun;12(3):377-80. doi: 10.1007/s10194-011-0305-9. Epub 2011 Feb 10.


Symptomatic trigeminal neuralgia due to a brainstem infarction is said to be rare. However, facial pain is not uncommon in Wallenberg's syndrome. Facial pain related to a Wallenberg's syndrome may be either persistent of intermittent, and occasionally occurs in brief attacks. Here, we report a patient with a right lateral medullary infarction who started having first division trigeminal neuralgia 1 month after the stroke. The pain paroxysms were suppressed with gabapentin.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Facial Pain / etiology*
  • Facial Pain / pathology
  • Humans
  • Lateral Medullary Syndrome / complications*
  • Lateral Medullary Syndrome / pathology
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Male
  • Trigeminal Neuralgia / etiology*
  • Trigeminal Neuralgia / pathology