Combined transhorizontal-supracerebellar approach for microvascular decompression of trigeminal neuralgia.

Abstract:

:A combined approach for microvascular decompression of trigeminal neuralgia is reported. Arachnoid dissection of the cerebellar horizontal fissure (transhorizontal approach) allowed easy identification of the root exit zone of the trigeminal nerve. The superior semilunar lobule was pulled back rostrally so that retraction of the acoustic nerve was minimal. After identification of the offending vessels, the supracerebellar artery was mobilized and dissected out through the supracerebellar route, which was also less invasive to the acoustic nerve than the standard approach. By combining these two approaches, the whole surface of the trigeminal nerve can be observed easily. Thus, the offending vessels can be readily identified, mobilized and moved away from the trigeminal nerve with minimal retraction of the acoustic nerve.

journal_name

Br J Neurosurg

authors

Fujimaki T,Kirino T

doi

10.1080/02688690020005536

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

531-4

issue

6

eissn

0268-8697

issn

1360-046X

journal_volume

14

pub_type

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