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Intraoperative monitoring of trigeminal neuralgia: a technical note.
Morisaki, Yudai; Takatani, Tsunenori; Kotsugi, Masashi; Yamazaki, Shintaro; Yokoyama, Shohei; Nakase, Kenta; Takeshima, Yasuhiro; Nishimura, Fumihiko; Matsuda, Ryosuke; Yamada, Shuichi; Park, Yong-Soo; Nakagawa, Ichiro.
Affiliation
  • Morisaki Y; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan. dueni5714@yahoo.co.jp.
  • Takatani T; Department of Operation Center, Nara Medical University Hospital, Kashihara, Japan.
  • Kotsugi M; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Yamazaki S; Department of Neurosurgery, National Hospital Organization Osaka Minami Medical Center, Kashihara, Japan.
  • Yokoyama S; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Nakase K; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Takeshima Y; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Nishimura F; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Matsuda R; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Yamada S; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Park YS; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
  • Nakagawa I; Department of Neurosurgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
Acta Neurochir (Wien) ; 166(1): 238, 2024 May 30.
Article in En | MEDLINE | ID: mdl-38814356
ABSTRACT
Trigeminal neuralgia causes excruciating pain in patients. Microvascular decompression is indicated for drug-resistant s trigeminal neuralgia. Unlike facial spasms, any part of the nerve can be the culprit, not only the root entry zone. Intraoperative monitoring does not yet exist for trigeminal neuralgia. We successfully used intermittent stimulation of the superior cerebellar artery during surgery and confirmed the disappearance of the trigeminal nerve motor branch reaction after the release of the compression. Intermittent direct stimulation of the culprit blood vessel using the motor branch of the trigeminal nerve may assist in intraoperative monitoring of decompression during trigeminal nerve vascular decompression surgery.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Trigeminal Neuralgia / Microvascular Decompression Surgery Limits: Aged / Female / Humans / Male / Middle aged Language: En Journal: Acta Neurochir (Wien) Year: 2024 Document type: Article Affiliation country: Japan Country of publication: Austria
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Trigeminal Neuralgia / Microvascular Decompression Surgery Limits: Aged / Female / Humans / Male / Middle aged Language: En Journal: Acta Neurochir (Wien) Year: 2024 Document type: Article Affiliation country: Japan Country of publication: Austria