Microvascular Decompression: Salient Surgical Principles and Technical Nuances

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Trigeminal neuralgia is a disorder associated with severe episodes of lancinating pain in the distribution of the trigeminal nerve. Previous reports indicate that 80-90% of cases are related to compression of the trigeminal nerve by an adjacent vessel. The majority of patients with trigeminal neuralgia eventually require surgical management in order to achieve remission of symptoms. Surgical op...

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Microvascular decompression surgery: surgical principles and technical nuances based on 4000 cases.

BACKGROUND As an etiological treatment of trigeminal neuralgia (TN) and hemifacial spasm (HFS), microvascular decompression (MVD) has been popularized around the world. However, as a functional operation in the cerebellopontine angle (CPA), this process can be risky and the postoperative outcomes might not be good enough sometimes. OBJECTIVE In order to obtain a better result with less compli...

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Technique of microvascular decompression. Technical note.

Vascular compression of the trigeminal nerve in the cerebellopontine angle is now generally accepted as the primary source or "trigger" causing trigeminal neuralgia. A clear clinicopathological association exists in the neurovascular relationship. In general, pain in the third division of the trigeminal nerve is caused by rostral compression, pain in the second division is caused by medial or m...

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In-situ Cranioplasty after Microvascular Decompression: A Technical Note.

Cranioplasty is not only performed for cosmetic reasons but also for physiological requirements to balance the cerebral hemodynamics and to protect the brain from external traumas. Methyl methacrylate is one of the most preferred materials for cranioplasty. It is usually prepared out of the surgical site and therefore modelling of the cranioplasty material to fit the bone defect is sometimes di...

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HOW I DO IT Surgical technique for trigeminal microvascular decompression

Background Microvascular decompression (MVD) is a non-ablative technique designed to resolve the neurovascular conflict responsible for typical idiopathic trigeminal neuralgia (TN). Method With the patient in a supine position, a small elliptical retrosigmoid craniectomy is used to approach the cerebellopontine angle and the trigeminal nerve. After careful exploration of the trigeminal root ent...

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ژورنال

عنوان ژورنال: Journal of Visualized Experiments

سال: 2011

ISSN: 1940-087X

DOI: 10.3791/2590