Patterns and Variations in Microvascular Decompression for Trigeminal Neuralgia

Microvascular decompression (MVD) is a highly effective surgical treatment for trigeminal neuralgia (TN). Although there is little prospective clinical evidence, accumulated observational studies have demonstrated the benefits of MVD for refractory TN. In the current surgical practice of MVD for TN,...

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Bibliographic Details
Published in:Neurologia medico-chirurgica 2015, Vol.55(5), pp.432-441
Main Authors: TODA, Hiroki, GOTO, Masanori, IWASAKI, Koichi
Format: Article
Language:English
Subjects:
microvascular decompression
Review
surgical nuances
trigeminal neuralgia
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Summary:Microvascular decompression (MVD) is a highly effective surgical treatment for trigeminal neuralgia (TN). Although there is little prospective clinical evidence, accumulated observational studies have demonstrated the benefits of MVD for refractory TN. In the current surgical practice of MVD for TN, there have been recognized patterns and variations in surgical anatomy and various decompression techniques. Here we provide a stepwise description of surgical procedures and relevant anatomical characteristics, as well as procedural options.
ISSN:0470-8105
1349-8029
DOI:10.2176/nmc.ra.2014-0393