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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Basic Info

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

Advanced

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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