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Microvascular Decompression for Trigeminal Neuralgia (combined venous & arterial)

Contributors: Fadi Sweiss

Microvascular decompression is the most effective surgical procedure for treating trigeminal neuralgia in patients with classic symptoms. Here we present a patient who had a “duo crush” from both a vein, as well as a loop of the superior cerebellar artery. The key maneuvers to create space between the compressive element and the nerve, in order to secure the teflon “cushion,” are highlighted.

DOI: https://doi.org/10.17797/qgthi9k07c

Microvascular decompression for trigeminal neuralgia
classic trigeminal neuralgia
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MRI scan with Fiesta sequence
trigeminal nerve, brainstem, labyrinthine artery
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