BACKGROUND Microvascular decompression (MVD) is the reference technique for pharmacoresistant trigeminal neuralgia (TN). OBJECTIVE To establish whether the safety and efficacy of Gamma Knife surgery for recurrent TN are influenced by prior MVD. METHODS Between July 1992 and November 2010, 54 of 737 patients (45 of 497 with >1 year of follow-up) had a history of MVD (approximately half also ...

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...

Abstract Background Trigeminal neuralgia (TN) is mostly caused by neurovascular compression of the trigeminal nerve and root entry zone at brain stem. Microvascular decompression (MVD) has been established as a standard treatment for in patients not adequately controlled medications. Objectives Reporting long-term outcome MVD our group with follow-up period equal to or more than five years. Pat...

Abstract Background Microvascular decompression surgery for trigeminal neuralgia is now considered the benchmark surgical procedure intractable of any variety. The objective this study to share our experience in managing classical with microvascular looking into both immediate and late functional outcomes at 3 6 months post op. We also report a unique case due tributary petrosal vein passing th...