PMC4521310_01
Preoperative T2WI MRI Brain demonstrating Chiari 1 malformation with subtle upper cervical cord signal change. The patient had severe and refractory right sided trigeminal neuralgia as the sole presenting symptom
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F1
T2 signal in the upper cervical cord [Figure 1]. There was no evidence of vascular conflict.
T2WI MRI scan one year postcraniocervical decompression and duroplasty. The patient remains asymptomatic
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F2
Following surgery the patient had immediate relief of facial pain and remains asymptomatic 1 year postsurgery with a satisfactory MRI appearance [Figure 2].