Microvascular Decompression for Trigeminal Neuralgia (combined venous & arterial)
Video Type: CVideo- 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
- Clearly annotated and narration is a must in these videos
- These have clear but concise abstracts are not able to be indexed in PubMed
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Author: Walter Jean
Published:
Specialties: Neurosurgery, Neurotology Otology
Schools: George Washington University
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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.
Procedure
Microvascular decompression for trigeminal neuralgia
Indications
classic trigeminal neuralgia
Contraindications
Instrumentation
Setup
Preoperative Workup
MRI scan with Fiesta sequence
Anatomy and Landmarks
trigeminal nerve, brainstem, labyrinthine artery
Advantages/Disadvantages
Complications/Risks
Disclosure of Conflicts
Acknowledgements
References
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