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Intracranial aneurysms are a potential cause of stroke (e.g. sub\u2010arachnoid haemorrhage) that is usually associated with, high rates of mortality and morbidity. A patient who had been previously managed for symptoms of temporomandibular joint disorder (<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>) presented with sharp, shooting pain of moderate intensity. It was precipitated by swallowing, and radiated to the right throat, posterior border of the mandible, ear and temporomandibular joint. Clinical and radiological investigations ruled out odontogenic pain, <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> and other more common types of facial pain. Magnetic resonance imaging revealed a 7 \u00d7 6 mm aneurysm in the right middle cerebral artery (MCA) which was subsequently surgically clipped. Interestingly, the facial pain resolved after this procedure. Compression of the insular region of the brain innervated by the trigeminal, glossopharyngeal and vagus nerves provides a plausible explanation for the pain reported. To our knowledge, this is the first case of facial neuralgia associated with an aneurysm in the MCA which emphasizes the importance of a multidisciplinary approach in the diagnosis and management of unusual cases of chronic orofacial pain.<\/jats:p>","DOI":"10.1111\/adj.12668","type":"journal-article","created":{"date-parts":[[2018,12,7]],"date-time":"2018-12-07T12:39:54Z","timestamp":1544186394000},"page":"106-110","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Orofacial neuralgia associated with a middle cerebral artery aneurysm"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7259-5646","authenticated-orcid":false,"given":"RJ","family":"Mascarenhas","sequence":"first","affiliation":[{"name":"School of Dentistry and Health Sciences Charles Sturt University Wagga Wagga New South Wales 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