Macrovascular decompression of a dolichoectatic vertebral artery via Kawase approach in a patient suffering from trigeminal neuralgia – A case report.

Secondary trigeminal neuralgia due to vertebrobasilar dolichoectasia is a rare entity. Surgical therapy via pterional craniotomy approach and anterior petrosectomy has already been described in literature. We present an 81-year female patient suffering from left sided trigeminal neuralgia due to vertebrobasilar dolichoectasia.