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...

PURPOSE The purpose of the study was to evaluate the effectiveness of microvascular decompression treatment prospectively in 40 patients with trigeminal neuralgia who were resistant to medical treatments and underwent microvascular decompression surgery (MVDS) between the years 2008 and 2010. METHODS The patients' data were collected as per norms suggested by Zakrzewska and Lopez and followed...

The cerebello-pontine angle lipomas causing trigeminal neuralgia or hemifacial spasm are rare. A lipoma causing glossopharyngel neuralgia is also very rare. A 46-year-old woman complained of 2-year history of severe right throat pain, with ipsilateral episodic otalgic pain. The throat pain was described as an episodic lancinating character confined to the throat. Computed tomography and magneti...

A case of the Guillain-Barré syndrome (GBS) occurring after microvascular decompression for the treatment of cranial nerve diseases is presented. Although the Guillain-Barré syndrome has been reported after surgical procedures, our case is the first case that can be documented after microvascular decompression surgery in the literature. The exact pathophysiological reasons of the syndrome are s...

We report a very rare case of cervical compressive myelopathy by an anomalous bilateral vertebral artery (VA) entering the spinal canal at the C1 level and compressing the spinal cord. A 70-year-old woman had been suffering from progressive gait disturbance. Magnetic resonance imaging revealed that a bilateral VA at the V4 segment had abnormal courses and caused compression to the high cervical...

Trigeminal neuralgia is a common cause of facial pain. Pathophysiology considerations, surgical armementorium and results are mentioned. Because none of the currently available techniques is perfect, there is a continuing effort of neurosurgeons to develop new treatment methods. There are: microvascular decompression – which offer the best chance of permanent pain relief without sensory loss or...

100 patients with hemifacial spasm treated by microvascular decompression are presented. there were 60 females and 40 males. their ages ranged from 29 to 75 years with a median age of 54 years, and the left side was involved predominantly. the common focal signs were facial nerve palsy in 41 cases, diminished hearing in 14 cases, trigeminal neuralgia in 11 cases, and homolateral trigeminal neur...

BACKGROUND Medical management of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) syndrome and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) is often unsatisfactory. METHODS The authors report nine cases of SUNCT/SUNA that failed medical treatment and had an aberrant arterial loop either in contact w...

AIM To explore the methods for achieving pain relief in patients with atypical trigeminal neuralgia (TN) using microvascular decompression (MVD). STUDY DESIGN AND SETTINGS Retrospective study of 26 patients treated during the years 2000 to 2004. MATERIALS AND METHODS Twenty-six patients in whom vascular compression of the trigeminal nerve was identified by high definition magnetic resonance...