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Acta Neurochirurgica
Published in: Acta Neurochirurgica 6/2021

01-06-2021 | Cerebral Sinus Venous Thrombosis | Case Report - Functional Neurosurgery - Pain

Subacute vision loss after microvascular decompression for trigeminal neuralgia

Authors: Kevin Zhao, Justin Gold, Grant Arzumanov, James K. Liu

Published in: Acta Neurochirurgica | Issue 6/2021

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Abstract

Microvascular decompression is the surgery of choice for typical trigeminal neuralgia (TN) that fails conservative medical management. Visual loss after MVD is a rare complication that has not been reported. In this article, we present a patient who developed delayed visual loss and papilledema from transverse sinus stenosis resulting from bone wax compression after MVD for TN. While waxing the edges of a retrosigmoid craniotomy may seem mundane, meticulous care should be taken to ensure that there is no compression of the venous sinuses, as this could lead to intracranial hypertension.
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Metadata
Title
Subacute vision loss after microvascular decompression for trigeminal neuralgia
Authors
Kevin Zhao
Justin Gold
Grant Arzumanov
James K. Liu
Publication date
01-06-2021
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-021-04819-x

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