Peduncular hallucinosis following microvascular decompression for trigeminal neuralgia without direct brainstem injury: case report

2009 ◽  
Vol 151 (3) ◽  
pp. 285-286 ◽  
Author(s):  
Takahito Miyazawa ◽  
Masanori Ito ◽  
Yukimasa Yasumoto
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Peduncular Hallucinosis ◽  
Brainstem Injury

Peduncular hallucinosis following microvascular decompression for trigeminal neuralgia: Case report

1993 ◽  
Vol 40 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Haruhisa Tsukamoto ◽  
Toshio Matsushima ◽  
Shigeru Fujiwara ◽  
Masashi Fukui
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Peduncular Hallucinosis

scholarly journals Recurrent Trigeminal Neuralgia due to Granulomatous Change in a Prosthesis for Microvascular Decompression: A Case Report

1997 ◽  
Vol 6 (7) ◽  
pp. 498-502 ◽  
Author(s):  
Hideaki Ishibashi ◽  
Toshio Matsushima ◽  
Yoshihiro Natori ◽  
Toru Iwaki ◽  
Masashi Fukui ◽  
...  
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression

scholarly journals Vertebrobasilar dolichoectasia as a cause of trigeminal neuralgia: the role of microvascular decompression. Case report

2006 ◽  
Vol 64 (1) ◽  
pp. 128-131 ◽  
Author(s):  
Jorge Luiz Kraemer ◽  
Arthur de Azambuja Pereira Filho ◽  
Gustavo de David ◽  
Mario de Barros Faria
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Facial Pain ◽  
Successful Outcome ◽  
Mechanical Compression ◽  
Suboccipital Craniotomy ◽  
Vertebrobasilar Dolichoectasia

Our purpose is to report a case of trigeminal neuralgia caused by vertebrobasilar dolichoectasia treated with microvascular decompression. A 63-year-old man sought treatment for a recurrent lancinating left facial pain in V2 and V3 trigeminal territories. The computed tomography angiography revealed a mechanical compression of the left trigeminal nerve due to vertebrobasilar dolichoectasia. The patient was submitted to a left suboccipital craniotomy. Shredded Teflon® was introduced in the conflicting neurovascular area, achieving a satisfactory decompression. The patient’s pain resolved immediately. Vertebrobasilar dolichoectasia is a rare cause of trigeminal neuralgia and a successful outcome can be achieved with microvascular decompression.

Endoscope-Assisted Microvascular Decompression for Trigeminal Neuralgia:Technical Case Report

2006 ◽  
Vol 59 (suppl_4) ◽  
pp. ONS-E489-ONS-E490 ◽  
Author(s):  
Charles Teo ◽  
Peter Nakaji ◽  
Ralph J. Mobbs
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Wound Infection ◽  
Trigeminal Nerve ◽  
Microvascular Decompression ◽  
Complication Rate ◽  
Entry Zone ◽  
Root Entry Zone

Abstract OBJECTIVE: Microvascular decompression may fail to relieve trigeminal neuralgia because a compressing vessel at the root entry zone may be overlooked during surgery. Alternatively, effective decompression may not always be achieved with the visualization provided by the microscope alone. We theorized that the addition of an endoscope would improve the efficacy of microvascular decompression. METHODS: We retrospectively reviewed microvascular decompression of the trigeminal nerve in 114 patients. Before closure, the endoscope was used to inspect the root entry zone. When visualization with the microscope was poor, the endoscope was used to identify an aberrant vessel and to perform or improve the subsequent decompression. RESULTS: Of 114 patients who underwent microvascular decompression, 113 successfully underwent endoscopy. In 38 patients (33%), endoscopy revealed arteries that were poorly seen (25%) or not seen at all (8%) with the microscope. At a mean follow-up period of 29 months, the pain was completely relieved in 112 patients (99.1%), all of whom were off medication. Complications included trigeminal dyses-thesias in nine patients and a wound infection, partial hearing loss, and complete hearing loss in one patient each. The overall complication rate was 9%. CONCLUSION: Endoscopy is a simple and safe adjunct to microscopic exploration of the trigeminal nerve. The markedly improved visualization increases the likelihood of identifying the offending vessel and consequently of achieving satisfactory decompression of the nerve. Thus far, the success rate has been high, and the complication profile is comparable to that of other large series.

scholarly journals Prophylactic effect of topical diluted papaverine in preventing hearing loss during microvascular decompression for typical trigeminal neuralgia: Case report and technical note

2019 ◽  
Vol 15 ◽  
pp. 11-14 ◽  
Author(s):  
Carlo Giacobbo Scavo ◽  
Raffaelino Roperto ◽  
Guglielmo Cacciotti ◽  
Francesco Corrivetti ◽  
Luciano Mastronardi
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Technical Note ◽  
Prophylactic Effect
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