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01-07-2008 | Technical Note

The “hanging technique” of vascular transposition in microvascular decompression for trigeminal neuralgia: technical report of four cases

Authors: Aristotelis P. Mitsos, Nikolaos Georgakoulias, Spiridon A. Lafazanos, Evangelos A. Konstantinou

Published in: Neurosurgical Review | Issue 3/2008

Abstract

The successful long-term outcome of microvascular decompression for trigeminal neuralgia is largely dependent on the maintenance of the isolation between the trigeminal nerve and the offending vessel, avoiding also the development of scar tissue around the nerve. We propose an alternative technique to achieve this target by “hanging” the offending vessel from the overlying tentorium using a strip of autologous tissue without interposing any foreign material.

Ammar A, Lagenaur C, Jannetta P (1990) Neural tissue compatibility of Teflon as implant material for microvascular decompression. Neurosurg Rev 13:299–303PubMedCrossRef

Barker FG, Janneta PJ, Bissonette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 25; 334(17):1077–1083CrossRef

Bederson JB, Wilson CB (1989) Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71:359–367PubMed

Burchiel KJ, Clarke H, Haglund M, Loeser JD (1988) Long-term efficacy of microvascular decompression in trigeminal neuralgia. J Neurosurg 69:35–38PubMed

Cho DY, Chang CGS, Wang YC, Wang FH, Shen CC, Yang DY (1994) Repeat operations in failed decompression for trigeminal neuralgia. Neurosurgery 35:665–670PubMedCrossRef

Fujimaki T, Hoya K, Sasaki T (1996) Recurrent trigeminal neuralgia caused by an inserted prosthesis. Report of two cases. Acta Neurochir (Wien) 138:1307–1309CrossRef

Fukushima T (1986) Surgery for hemifacial spasm. Clin Neurosci (Jpn) 4:584–585

Gardner WJ (1962) Concerning the cause of trigeminal neuralgia and hemifacial spasm. J Neurosurg 19:947–958PubMed

Goya T, Wakisaka S, Kinoshita K (1990) Microvascular decompression for trigeminal neuralgia with special reference to delayed recurrence. Neurol Med Chir 30:462–467CrossRef

10.

Hamlyn PJ, King TT (1992) Neurovascular compression in trigeminal neuralgia: a clinical and anatomical study. J Neurosurg 76:948–954PubMed

11.

Janetta PJ (1976) Microsurgical approach to trigeminal nerve for tic doulourex. Prog Neurol Surg 7:180–200

12.

Jannetta PJ, Abbasy M, Maroon JC et al (1977) Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg 47:321–328PubMedCrossRef

13.

Jannetta PJ, Bissonette DJ (1985) Management of the failed patient with trigeminal neuralgia. Clin Neurosurg 32:334–347PubMed

14.

Klun B (1992) Microvascular decompression and partial sensory rhizotomy in the treatment of trigeminal neuralgia: personal experience with 220 patients. Neurosurgery 30:49–52PubMedCrossRef

15.

Kureshi SA, Wilkins RH (1998) Posterior fossa reexploration for persistent or recurrent trigeminal neuralgia or hemifacial spasm: surgical findings and therapeutic implications. Neurosurgery 43:111–1117

16.

Laws ER Jr, Kelly PJ, Sundt TM Jr (1986) Clip-grafts in microvascular decompression of the posterior fossa. Technical note. J Neurosurg 64:679–681PubMed

17.

Matsushima T, Yamaguchi T, Inoue K, Matsukado K, Fukui M (2000) Recurrent trigeminal neuralgia after microvascular decompression using an interposing technique. Teflon felt adhesion and the sling retraction technique. Acta Neurochir (Wien) 142:557–561CrossRef

18.

Mendosa N, Illingworth RD (1995) Trigeminal neuralgia treated by microvascular decompression: a long-term follow-up study. Br J Neurosurg 9:13–19CrossRef

19.

Melvill RL, Baxter BL (1996) A tentorial sling in microvascular decompression for trigeminal neuralgia. Technical note. J Neurosurg 84:127–128PubMed

20.

Piatt JH Jr, Wilkins RH (1984) Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic implications of various neurovascular relationships. Neurosurgery 14:462–471PubMedCrossRef

21.

Premsager IC, Moss T, Coakham HB (1997) Teflon-induced granuloma following treatment of trigeminal neuralgia by microvascular decompression. Report of two cases. J Neurosurg 87:454–457CrossRef

22.

Rawlinson JN, Coakham HB (1988) The treatment of hemifacial spasm by sling retraction. Br J Neurosurg 2:173–178PubMedCrossRef

23.

Shigeno T, Kumai J, Endo M, Ova S (2002) Snare technique of vascular transposition for microvascular decompression-technical note. Neurol Med Chir (Tokyo) 42(4):184–189CrossRef

Title: The “hanging technique” of vascular transposition in microvascular decompression for trigeminal neuralgia: technical report of four cases
Authors: Aristotelis P. Mitsos
Nikolaos Georgakoulias
Spiridon A. Lafazanos
Evangelos A. Konstantinou
Publication date: 01-07-2008
Publisher: Springer-Verlag
Published in: Neurosurgical Review / Issue 3/2008
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-008-0144-6

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The “hanging technique” of vascular transposition in microvascular decompression for trigeminal neuralgia: technical report of four cases

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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