Compression of multiples cranial nerves at the entry zone in the brainstem is called hyperactive dysfunction syndrome. Caused by the dolichoectasia basilar artery that compress V, VII-VIII and IX cranial nerves, in our patient it caused trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia, that its a very rare condition, probably less than 1% of rhizopathies published. There are at less 9 cases reported in the reviewed literature. This case would be the 10th reported case. This is the first case treated with an Microasterional approach with a backup video.