Microvascular decompression of the accessory nerve for treatment of spasmodic torticollis: early results in 12 cases

2009 ◽  
Vol 151 (10) ◽  
pp. 1251-1257 ◽  
Author(s):  
Kehua Sun ◽  
Yicheng Lu ◽  
Guohan Hu ◽  
Chun Luo ◽  
Lijun Hou ◽  
...  
Keyword(s):  
Microvascular Decompression ◽  
Spasmodic Torticollis ◽  
Accessory Nerve ◽  
Early Results

Spasmodic Torticollis Due to Neurovascular Compression of the Spinal Accessory Nerve by the Anteroinferior Cerebellar Artery: Case Report

Neurosurgery ◽  
2000 ◽  
Vol 47 (3) ◽  
pp. 768-772 ◽  
Author(s):  
Concetta Alafaci ◽  
Francesco M. Salpietro ◽  
Gaspare Montemagno ◽  
Giovanni Grasso ◽  
Francesco Tomasello
Keyword(s):  
Cranial Nerve ◽  
Neuromuscular Disorder ◽  
Spasmodic Torticollis ◽  
Accessory Nerve ◽  
Decompression Surgery ◽  
Neurovascular Compression ◽  
Cerebellar Artery ◽  
History Of ◽  
Microvascular Decompression Surgery ◽  
The Right

ABSTRACT OBJECTIVE AND IMPORTANCE Spasmodic torticollis is a neuromuscular disorder characterized by uncontrollable clonic and intermittently tonic spasm of the neck muscles. We report a case of spasmodic torticollis attributable to neurovascular compression of the right XIth cranial nerve by the right anteroinferior cerebellar artery (AICA). CLINICAL PRESENTATION A 72-year-old man with a 2-year history of right spasmodic torticollis underwent magnetic resonance imaging, which demonstrated compression of the right XIth cranial nerve by an abnormal descending loop of the right AICA. INTERVENTION The patient underwent microvascular decompression surgery. During surgery, it was confirmed that an abnormal loop of the right AICA was compressing the right accessory nerve. Compression was released by the interposition of muscle between the artery and the nerve. CONCLUSION The patient's postoperative course was uneventful, and his symptoms were fully relieved at the 2-year follow-up examination. This is the first reported case of spasmodic torticollis attributable to compression by the AICA; usually, the blood vessels involved are the vertebral artery and the posteroinferior cerebellar artery.

A Comparison of Percutaneous Radiofrequency Trigeminal Neurolysis and Microvascular Decompression of the Trigeminal Nerve for the Treatment of Tic Douloureux

Neurosurgery ◽  
1977 ◽  
Vol 1 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Ronald I. Apfelbaum
Keyword(s):  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Microvascular Decompression ◽  
Sensory Loss ◽  
Tic Douloureux ◽  
Suboccipital Craniectomy ◽  
Early Results ◽  
Classical Trigeminal Neuralgia

Abstract In a 36-month period, 103 consecutive patients have been treated for classical trigeminal neuralgia with either percutaneous radiofrequency trigeminal neurolysis (PTN) (48 patients) or microvascular decompression (MVD) via a suboccipital craniectomy (55 patients). The results of these two procedures are tabulated, emphasizing especially the complications that have occurred with each. Successful initial relief of pain was achieved in 88% of the patients with PTN and 96% of the patients with MVD. Two significant complications occurred in the former group. Severe recurrences have occurred to date in 13% of the patients with PTN and in 5% of those with MVD. It is concluded that both procedures are effective, but that microvascular decompression offers the advantage of avoiding sensory loss and associated dysesthetic sensations. Follow-up is too short to conclude that MVD is a curative procedure, but the early results are very encouraging.

Microvascular decompression with partial occipital condylectomy in a case of pediatric spasmodic torticollis

2019 ◽  
Vol 35 (7) ◽  
pp. 1263-1266
Author(s):  
Patrick Graupman ◽  
Timothy Feyma ◽  
Thomas Sorenson ◽  
Eric S. Nussbaum
Keyword(s):  
Microvascular Decompression ◽  
Spasmodic Torticollis

Spasmodic Torticollis Due to Neurovascular Compression of the Spinal Accessory Nerve by the Anteroinferior Cerebellar Artery: Case Report

Neurosurgery ◽  
2000 ◽  
Vol 47 (3) ◽  
pp. 768-772 ◽  
Author(s):  
Concetta Alafaci ◽  
Francesco M. Salpietro ◽  
Gaspare Montemagno ◽  
Giovanni Grasso ◽  
Francesco Tomasello
Keyword(s):  
Case Report ◽  
Spasmodic Torticollis ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Neurovascular Compression ◽  
Spinal Accessory ◽  
Cerebellar Artery

Microvascular decompression for spasmodic torticollis

1995 ◽  
Vol 134 (1-2) ◽  
pp. 21-26 ◽  
Author(s):  
H. D. Jho ◽  
P. J. Jannetta
Keyword(s):  
Microvascular Decompression ◽  
Spasmodic Torticollis

Spasmodic torticollis due to neurovascular compression of the 11th nerve

1985 ◽  
Vol 63 (5) ◽  
pp. 789-791 ◽  
Author(s):  
Carlo A. Pagni ◽  
Michele Naddeo ◽  
Giuliano Faccani
Keyword(s):  
Unusual Case ◽  
Spasmodic Torticollis ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Neurovascular Compression ◽  
Content Type ◽  
Spinal Accessory ◽  
Cerebellar Artery ◽  
Fine Print

✓ An unusual case of spasmodic torticollis caused by posteroinferior cerebellar artery compression of the spinal accessory nerve is reported. The spasmodic torticollis was cured by abolishing the neurovascular compression.

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