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Contributors: Daniel R. Felbaum
Microvascular decompression is the most effective surgical procedure for treating trigeminal neuralgia in patients with classic symptoms. The most frequent compressive force is the superior cerebellar artery. Here we demonstrate the procedure in a patient with long-standing, classic symptoms of trigeminal neuralgia, in whom we discovered compression from venous structures.
DOI# http://dx.doi.org/10.17797//henaevqy2g
Microvascular decompression for trigeminal neuralgia
classic symptoms of trigeminal neuralgia
CISS MRI showing arterial compression of trigeminal nerve near the brainstem
atypical symptoms of facial pain
trigeminal neuralgia well-controlled by medication only
patients who are at risk for general anesthesia
microscope
N/A
MRI with CISS sequence
Asterion marking the junction of the transverse and sigmoid sinuses
superior petrosal vein
Risks include CSF leak, damage to cranial nerves nearby resulting in diplopia, hearing loss, or facial palsy,
Risks include CSF leak, damage to cranial nerves nearby resulting in diplopia, hearing loss, or facial palsy,
N/A
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