OBJECTIVE Microvascular decompression (MVD) for hemifacial spasm (HFS) involving the vertebral artery (VA) can be technically challenging. We investigated the therapeutic effects of a bioglue-coated Teflon sling technique on the VA during MVD in 42 cases. METHODS A bioglue-coated Teflon sling was crafted by the surgeon and applied to patients in whom neurovascular compression was caused by th...

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...

Background and Aims: Conservative treatment for displaced intra-articular fracture calcaneum can lead to incongruence of the posterior facet and, calcaneocuboid joint. Therefore surgical is advocated restore anatomy reduce complications like subtalar arthritis, malunion pain while walking. Aim study functional outcome fractures treated with plate or CC screw.Material Methods: Total 20 cases wer...

Superior orbital fissure syndrome is a severe clinical entity characterized by injuries of neurovascular structures passing through the superior orbital fissure. A 38-year-old male patient admitted to outpatient clinic with left upper eyelid ptosis, ecchymosis, mydriasis, hypoesthesia in upper eyelid and frontal region, blepharoptosis, restriction of ocular movements in all directions, loss of ...

We have reviewed 32 patients with rheumatoid disease of the cervical spine who underwent a total of 40 operations aimed at correcting instability and improving any associated neurovascular deficit. Apart from four patients with intractable pain, the main indication for surgery was progressive neurological impairment. Of the 32 primary operations, 19 (60%) were successful; the remainder failed t...

OBJECTIVE The aim of this prospective study was to demonstrate the influence of some factors on the prognosis of microvascular decompression in 37 patients with trigeminal neuralgia. METHODS The results of microvascular decompression (MVD) in 37 patients with trigeminal neuralgia were evaluated at 6 months after surgery and were compared with clinical and operative findings. RESULTS The sex...

BACKGROUND Myelopathy from ectatic vertebral artery compression of the spinal cord at the cervicomedullary junction is a rare condition. CASE DESCRIPTION A 63-year-old female was originally diagnosed with occult hydrocephalus syndrome after presenting with symptoms of ataxia and urinary incontinence. Ventriculoperitoneal shunting induced an acute worsening of the patient's symptoms as she imm...

BACKGROUND Patients with trigeminal neuralgia (TN) and persistent or recurrent facial pain after microvascular decompression (MVD) typically undergo less invasive procedures in the hope of providing pain relief. However, re-operation should be considered in selected patients. CASE REPORT A 48-year-old woman presented with recurrent trigeminal neuralgia (TN) 3 years following microvascular dec...

A 68-year-old man underwent extraction of a left mandibular third molar and the mesial root of the left mandibular first molar by a dentist in November 2014 after suddenly developing toothache. In May 2015, he visited our clinic complaining of episodes of persistent pain in the left mandibular first molar, but could not give a clear description of the pain. Evoked pain was absent and there were...