Tags

Type your tag names separated by a space and hit enter

Subtemporal transtentorial approach for recurrent trigeminal neuralgia after microvascular decompression via the lateral suboccipital approach: case report.
J Neurosurg. 2015 Jun; 122(6):1429-32.JN

Abstract

Microvascular decompression (MVD) via lateral suboccipital craniotomy is the standard surgical intervention for trigeminal neuralgia (TN). For recurrent TN, difficulties are sometimes encountered when performing reoperation via the same approach because of adhesions and prosthetic materials used in the previous surgery. In the present case report the authors describe the efficacy of the subtemporal transtentorial approach for use in recurrent TN after MVD via the lateral suboccipital approach. An 86-year-old woman, in whom an MVD via a lateral suboccipital craniotomy had previously been performed for TN, underwent surgery for recurrent TN via the subtemporal transtentorial approach, which provided excellent visualization of the neurovascular relationships and the trigeminal nerve without adhesions due to the previous surgery. Her TN disappeared after the MVD. The present approach is ideal for visualizing the trigeminal root entry zone, and the neurovascular complex can be easily dissected using a new surgical trajectory. This approach could be another surgical option for reoperation when the previous MVD had been performed via the suboccipital approach.

Authors+Show Affiliations

1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and. 2Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan.1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and.2Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan.1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and.1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and.2Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan.2Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan.1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25423272

Citation

Ogiwara, Toshihiro, et al. "Subtemporal Transtentorial Approach for Recurrent Trigeminal Neuralgia After Microvascular Decompression Via the Lateral Suboccipital Approach: Case Report." Journal of Neurosurgery, vol. 122, no. 6, 2015, pp. 1429-32.
Ogiwara T, Goto T, Kusano Y, et al. Subtemporal transtentorial approach for recurrent trigeminal neuralgia after microvascular decompression via the lateral suboccipital approach: case report. J Neurosurg. 2015;122(6):1429-32.
Ogiwara, T., Goto, T., Kusano, Y., Kuroiwa, M., Kiuchi, T., Kodama, K., Takemae, T., & Hongo, K. (2015). Subtemporal transtentorial approach for recurrent trigeminal neuralgia after microvascular decompression via the lateral suboccipital approach: case report. Journal of Neurosurgery, 122(6), 1429-32. https://doi.org/10.3171/2014.10.JNS132643
Ogiwara T, et al. Subtemporal Transtentorial Approach for Recurrent Trigeminal Neuralgia After Microvascular Decompression Via the Lateral Suboccipital Approach: Case Report. J Neurosurg. 2015;122(6):1429-32. PubMed PMID: 25423272.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subtemporal transtentorial approach for recurrent trigeminal neuralgia after microvascular decompression via the lateral suboccipital approach: case report. AU - Ogiwara,Toshihiro, AU - Goto,Tetsuya, AU - Kusano,Yoshikazu, AU - Kuroiwa,Masafumi, AU - Kiuchi,Takafumi, AU - Kodama,Kunihiko, AU - Takemae,Toshiki, AU - Hongo,Kazuhiro, Y1 - 2014/11/28/ PY - 2014/11/26/entrez PY - 2014/11/26/pubmed PY - 2015/8/5/medline KW - MVD = microvascular decompression KW - PV = petrosal vein KW - REZ = root entry zone KW - SCA = superior cerebellar artery KW - TN = trigeminal neuralgia KW - microvascular decompression KW - peripheral nerve KW - recurrent trigeminal neuralgia KW - subtemporal transtentorial approach SP - 1429 EP - 32 JF - Journal of neurosurgery JO - J Neurosurg VL - 122 IS - 6 N2 - Microvascular decompression (MVD) via lateral suboccipital craniotomy is the standard surgical intervention for trigeminal neuralgia (TN). For recurrent TN, difficulties are sometimes encountered when performing reoperation via the same approach because of adhesions and prosthetic materials used in the previous surgery. In the present case report the authors describe the efficacy of the subtemporal transtentorial approach for use in recurrent TN after MVD via the lateral suboccipital approach. An 86-year-old woman, in whom an MVD via a lateral suboccipital craniotomy had previously been performed for TN, underwent surgery for recurrent TN via the subtemporal transtentorial approach, which provided excellent visualization of the neurovascular relationships and the trigeminal nerve without adhesions due to the previous surgery. Her TN disappeared after the MVD. The present approach is ideal for visualizing the trigeminal root entry zone, and the neurovascular complex can be easily dissected using a new surgical trajectory. This approach could be another surgical option for reoperation when the previous MVD had been performed via the suboccipital approach. SN - 1933-0693 UR - https://www.unboundmedicine.com/medline/citation/25423272/Subtemporal_transtentorial_approach_for_recurrent_trigeminal_neuralgia_after_microvascular_decompression_via_the_lateral_suboccipital_approach:_case_report_ L2 - https://thejns.org/doi/10.3171/2014.10.JNS132643 DB - PRIME DP - Unbound Medicine ER -