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Microvascular Decompression and Nervus Intermedius Sectioning for the Treatment of Geniculate Neuralgia.
J Neurol Surg B Skull Base 2019; 80(Suppl 3):S316-S317JN

Abstract

Objectives Demonstrate the surgical treatment of geniculate neuralgia via microvascular decompression and nervus intermedius sectioning. Designs Single case-based operative video. Setting Tertiary center with dedicated skull base team. Participants The patient is a 62-year-old female with a history of deep right-sided otalgia consistent with geniculate neuralgia. She failed appropriate medical treatment. Her magnetic resonance imaging (MRI) showed an ectatic vertebrobasilar system as well as an anterior inferior cerebellar artery (AICA) loop causing compression of the VII/VIII nerve complex in the cerebellopontine angle. Main Outcome Measures Resolution of right-sided otalgia. Results The patient underwent retrosigmoid craniotomy with microvascular decompression of the VII/VIII nerve complex and nervus intermedius sectioning. Intraoperatively, the patient was noted to have an ectatic vertebral artery and AICA that were compressing the root entry zone of the VII/VIII nerve complex. Microvascular decompression was performed of both the vertebral artery and AICA with Teflon. The nervus intermedius was sharply sectioned. The patient's postoperative course was uneventful with no complications. She continues to have resolution of her right sided otalgia at 6 months postoperatively. The link to the video can be found at: https://youtu.be/uRb_QfrINSk .

Authors+Show Affiliations

Department of Neurosurgery, Albany Medical Center, Albany, New York, United States.Division of Otolaryngology, Albany Medical Center, Albany, New York, United States.Division of Otolaryngology, Albany Medical Center, Albany, New York, United States. Albany Ear, Nose, and Throat Services, Albany, New York, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31143610

Citation

Kenning, Tyler J., et al. "Microvascular Decompression and Nervus Intermedius Sectioning for the Treatment of Geniculate Neuralgia." Journal of Neurological Surgery. Part B, Skull Base, vol. 80, no. Suppl 3, 2019, pp. S316-S317.
Kenning TJ, Kim CS, Bien AG. Microvascular Decompression and Nervus Intermedius Sectioning for the Treatment of Geniculate Neuralgia. J Neurol Surg B Skull Base. 2019;80(Suppl 3):S316-S317.
Kenning, T. J., Kim, C. S., & Bien, A. G. (2019). Microvascular Decompression and Nervus Intermedius Sectioning for the Treatment of Geniculate Neuralgia. Journal of Neurological Surgery. Part B, Skull Base, 80(Suppl 3), pp. S316-S317. doi:10.1055/s-0038-1675151.
Kenning TJ, Kim CS, Bien AG. Microvascular Decompression and Nervus Intermedius Sectioning for the Treatment of Geniculate Neuralgia. J Neurol Surg B Skull Base. 2019;80(Suppl 3):S316-S317. PubMed PMID: 31143610.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Microvascular Decompression and Nervus Intermedius Sectioning for the Treatment of Geniculate Neuralgia. AU - Kenning,Tyler J, AU - Kim,Christine S, AU - Bien,Alexander G, Y1 - 2018/11/30/ PY - 2018/05/30/received PY - 2018/08/19/accepted PY - 2020/06/01/pmc-release PY - 2019/5/31/entrez KW - ear pain KW - geniculate neuralgia KW - microvascular decompression KW - nerve sectioning KW - nervus intermedius KW - otalgia KW - retrosigmoid craniotomy SP - S316 EP - S317 JF - Journal of neurological surgery. Part B, Skull base JO - J Neurol Surg B Skull Base VL - 80 IS - Suppl 3 N2 - Objectives Demonstrate the surgical treatment of geniculate neuralgia via microvascular decompression and nervus intermedius sectioning. Designs Single case-based operative video. Setting Tertiary center with dedicated skull base team. Participants The patient is a 62-year-old female with a history of deep right-sided otalgia consistent with geniculate neuralgia. She failed appropriate medical treatment. Her magnetic resonance imaging (MRI) showed an ectatic vertebrobasilar system as well as an anterior inferior cerebellar artery (AICA) loop causing compression of the VII/VIII nerve complex in the cerebellopontine angle. Main Outcome Measures Resolution of right-sided otalgia. Results The patient underwent retrosigmoid craniotomy with microvascular decompression of the VII/VIII nerve complex and nervus intermedius sectioning. Intraoperatively, the patient was noted to have an ectatic vertebral artery and AICA that were compressing the root entry zone of the VII/VIII nerve complex. Microvascular decompression was performed of both the vertebral artery and AICA with Teflon. The nervus intermedius was sharply sectioned. The patient's postoperative course was uneventful with no complications. She continues to have resolution of her right sided otalgia at 6 months postoperatively. The link to the video can be found at: https://youtu.be/uRb_QfrINSk . SN - 2193-6331 UR - https://www.unboundmedicine.com/medline/citation/31143610/Microvascular_Decompression_and_Nervus_Intermedius_Sectioning_for_the_Treatment_of_Geniculate_Neuralgia L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0038-1675151 DB - PRIME DP - Unbound Medicine ER -