{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:51Z","timestamp":1786728651341,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>This case series explores the complex interplay between stress-related somatic complaints and neurovascular compression, specifically focusing on anterior inferior cerebellar artery (AICA) vascular loops. Three female patients presented with diverse neurological symptoms, including facial discomfort, vertigo, tinnitus, and headache, often accompanied by anxiety and psychosocial stressors. Magnetic resonance imaging revealed AICA loops in all patients (unilateral in two, bilateral in one). While the AICA loops may contribute to the symptom complex, all patients experienced significant improvement with combined psychotropic (selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, antipsychotics) and neuropharmacological (propranolol) treatment. This suggests a significant role of psychological factors and highlights the importance of a holistic approach. This series underscores the need for clinicians to consider neurovascular compression syndromes in patients with stress-related somatic complaints and emphasizes the potential benefit of a multidisciplinary approach involving both neurological and psychiatric perspectives. Further research is warranted to clarify the precise role of AICA loops in these presentations and optimize therapeutic strategies.<\/jats:p>","DOI":"10.4103\/ipj.ipj_257_25","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:00:41Z","timestamp":1768896041000},"page":"148-151","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Neurovascular compression in patients with stress-related somatic complaints"],"prefix":"10.4103","volume":"35","author":[{"given":"Bushra","family":"Zahoor","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunjan","family":"Chadha","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Sekhon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimmi A.","family":"Jose","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjeet Singh","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"R1-20260120","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1186\/s43163-022-00369-w","article-title":"Anterior inferior cerebellar artery loop and tinnitus\u2014is there any association between them?","volume":"38","author":"Saraf","year":"2022","journal-title":"Egypt J Otolaryngol"},{"key":"R2-20260120","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1046\/j.1365-2273.2003.00662.x","article-title":"Anterior inferior cerebellar artery syndrome: Fact or fiction","volume":"28","author":"McDermott","year":"2003","journal-title":"Clin Otolaryngol Allied Sci"},{"key":"R3-20260120","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1016\/S0140-6736(94)91879-1","article-title":"Vestibular paroxysmia: Vascular compression of the eighth nerve?","volume":"343","author":"Brandt","year":"1994","journal-title":"Lancet"},{"key":"R4-20260120","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/BF01401831","article-title":"Microvascular decompression of the eighth nerve in patients with disabling positional vertigo: Selection criteria and operative results in 207 patients","volume":"125","author":"M\u00f8ller","year":"1993","journal-title":"Acta Neurochir (Wien)"},{"key":"R5-20260120","first-page":"72","article-title":"Vestibular paroxysmia associated with paroxysmal pulsatile tinnitus: A case report and review of the literature","volume":"22","author":"Chang","year":"2013","journal-title":"Acta Neurol Taiwan"},{"key":"R6-20260120","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1212\/01.wnl.0000326594.91291.f8","article-title":"Vestibular paroxysmia: Diagnostic features and medical treatment","volume":"71","author":"H\u00fcfner","year":"2008","journal-title":"Neurology"},{"key":"R7-20260120","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1136\/jnnp-2013-305513","article-title":"MRI and neurophysiology in vestibular paroxysmia: Contradiction and correlation","volume":"84","author":"Best","year":"2013","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R8-20260120","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4103\/bc.bc_6_18","article-title":"Cerebrovascular dysfunction with stress and depression","volume":"4","author":"Burrage","year":"2018","journal-title":"Brain Circ"},{"key":"R9-20260120","doi-asserted-by":"crossref","first-page":"111608","DOI":"10.1016\/j.jpsychores.2024.111608","article-title":"Psychological risk factors of somatic symptom disorder: A systematic review and metaanalysis of crosssectional and longitudinal studies","volume":"181","author":"Smakowski","year":"2024","journal-title":"J Psychosom Res"},{"key":"R10-20260120","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3390\/audiolres15020028","article-title":"Vestibular paroxysmia with neurovascular cross compression and antiepileptic drugs: A systematic review and discussion of physiopathology","volume":"15","author":"Reynard","year":"2025","journal-title":"Audiol Res"}],"container-title":["Industrial Psychiatry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ipj.ipj_257_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:29:53Z","timestamp":1786724993000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ipj.ipj_257_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ipj.ipj_257_25","relation":{},"ISSN":["0972-6748","0976-2795"],"issn-type":[{"value":"0972-6748","type":"print"},{"value":"0976-2795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-07-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}