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- Title
Anterior transpetrosal approach for microvascular decompression associated with the dolichoectatic vertebrobasilar artery in two patients with refractory trigeminal neuralgia: Technical note.
- Authors
Masafumi Segawa; Tomohiro Inoue; Sho Tsunoda; Ryuichi Noda; Atsuya Akabane
- Abstract
Background: Trigeminal neuralgia (TN) due to compression from the dolichoectatic vertebrobasilar artery (DVBA) is extremely rare and difficult to treat due to its morphological characteristics. We report two cases of good transposition of DVBA and postoperative course obtained using the anterior petrosal approach and a new vasoculopexy method. Methods: We describe two cases of microvascular decompression (MVD) for refractory TN associated with DVBA. In both cases, MVD was performed through the anterior petrosal approach. The DVBA was decompressed using a GORE-TEX sling and WECK clip in an inferomedial direction. Results: Complete pain relief without new neurological deterioration was achieved immediately in both patients. Conclusion: We experienced a rare condition of TN due to exclusion by the DVBA. The anterior transpetrosal approach was extremely effective in this case. This approach secured the surgical field, allowed transposition of the DVBA, and caused no perioperative complications.
- Subjects
NEURALGIA; CLINICAL deterioration; ARTERIES; TRIGEMINAL neuralgia; SURGICAL complications; REFRACTORY materials; ANALGESIA
- Publication
Surgical Neurology International, 2022, Vol 13, p1
- ISSN
2229-5097
- Publication type
Article
- DOI
10.25259/SNI_1024_2022