Intraoperative monitoring of trigeminal neuralgia: a technical note.
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.
Key words
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