Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia.

Abstract:

:Intraoperative monitoring during cerebellopontine angle surgery is widely accepted. While techniques which monitor cranial motor nerves are commonly used, monitoring the sensory afferents has been challenging. Considering the reflex arc, blink reflex (BR) might be useful in monitoring the sensory part of the trigeminal nerve, the brainstem connections and the facial nerve. We describe the case of a patient who developed hemifacial hypoesthesia after microvascular decompression surgery for trigeminal neuralgia. Intraoperative BR showed a severe loss of R1 amplitude. BR might be a useful intraoperative technique to monitor the sensory part of the trigeminal nerve.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Simioni V,Capone JG,Sette E,Granieri E,Farneti M,Cavallo MA,Tugnoli V

doi

10.1007/s00701-017-3405-8

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

165-169

issue

1

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-017-3405-8

journal_volume

160

pub_type

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