Superior Petrosal Vein Sacrifice during Microvascular Decompression

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Management of petrosal veins during microvascular decompression for trigeminal neuralgia.

OBJECTIVE Venous compression might be the main cause of incomplete decompression and symptom recurrence after microvascular decompression (MVD) in patients with trigeminal neuralgia. Although it can be killed in most cases, cutting the vein sometimes has the potential risk arising from venous congestion. To maneuver the vein safely, we introduced a temporary occlusion test of the vein. METHOD...

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BACKGROUND Venous infarction as a complication of microvascular decompression (MVD) is a recognized but extremely rare occurrence in an otherwise standard neurosurgical procedure. Sacrificing one or more veins is considered safe by majority of experienced surgeons and authors. However, in the recent years, there has been growing debate about the management of venous trigeminal compression and/o...

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Microvascular decompression for trigeminal neuralgia.

Eleven patients with intractable trigeminal neuralgia were treated by posterior fossa microvascular decompression. Complete pain relief was achieved in 7 patients (63.3%). Partial relief of symptoms was noted in 3 patients (27%). There was no operative mortality. Two patients developed transient lower cranial nerve palsies whereas one patient developed a CSF leak, requiring treatment by lumbar ...

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BACKGROUND Trigeminal Neuralgia (TGN) is the most frequently diagnosed type of facial pain. In idiopathic type of TGN it is caused by the neuro-vascular conflict involving trigeminal nerve. Microvascular decompression (MVD) aims at addressing this basic pathology in the idiopathic type of TGN. This study was conducted to determine the outcome and complications of patients with idiopathic TGN un...

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ژورنال

عنوان ژورنال: Journal of Neurological Surgery Part B: Skull Base

سال: 2018

ISSN: 2193-6331,2193-634X

DOI: 10.1055/s-0038-1633537