How I do it: endoscopic microvascular decompression for glossopharyngeal neuralgia

Fuminari Komatsu; Kislay Kishore; Robin Sengupta

doi:10.1007/s00701-020-04456-w

How I do it: endoscopic microvascular decompression for glossopharyngeal neuralgia

Fuminari Komatsu
, Kislay Kishore
, Robin Sengupta

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background: Microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) is associated with high complication and incomplete cure rates because of its poor ability to visualize neurovascular conflicts. Method: Fully endoscopic MVD for GPN was carried out through a retrosigmoid keyhole approach. Neurovascular conflicts were clearly demonstrated with a loop of the posterior inferior cerebellar artery (PICA) under a 30° endoscopic view, and no significant cerebellar retraction was observed. The loop of the PICA was safely decompressed and the perforators were preserved while offering an excellent operative view. Conclusion: Endoscopic MVD is a reliable and minimally invasive method for GPN.

Original language	English
Pages (from-to)	2833-2835
Number of pages	3
Journal	Acta Neurochirurgica
Volume	162
Issue number	11
DOIs	https://doi.org/10.1007/s00701-020-04456-w
Publication status	Published - 01-11-2020
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.1007/s00701-020-04456-w

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title = "How I do it: endoscopic microvascular decompression for glossopharyngeal neuralgia",

abstract = "Background: Microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) is associated with high complication and incomplete cure rates because of its poor ability to visualize neurovascular conflicts. Method: Fully endoscopic MVD for GPN was carried out through a retrosigmoid keyhole approach. Neurovascular conflicts were clearly demonstrated with a loop of the posterior inferior cerebellar artery (PICA) under a 30° endoscopic view, and no significant cerebellar retraction was observed. The loop of the PICA was safely decompressed and the perforators were preserved while offering an excellent operative view. Conclusion: Endoscopic MVD is a reliable and minimally invasive method for GPN.",

keywords = "Endoscopic keyhole surgery, Posterior cranial fossa, Root entry zone",

author = "Fuminari Komatsu and Kislay Kishore and Robin Sengupta",

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T1 - How I do it

T2 - endoscopic microvascular decompression for glossopharyngeal neuralgia

AU - Komatsu, Fuminari

AU - Kishore, Kislay

AU - Sengupta, Robin

PY - 2020/11/1

Y1 - 2020/11/1

N2 - Background: Microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) is associated with high complication and incomplete cure rates because of its poor ability to visualize neurovascular conflicts. Method: Fully endoscopic MVD for GPN was carried out through a retrosigmoid keyhole approach. Neurovascular conflicts were clearly demonstrated with a loop of the posterior inferior cerebellar artery (PICA) under a 30° endoscopic view, and no significant cerebellar retraction was observed. The loop of the PICA was safely decompressed and the perforators were preserved while offering an excellent operative view. Conclusion: Endoscopic MVD is a reliable and minimally invasive method for GPN.

AB - Background: Microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) is associated with high complication and incomplete cure rates because of its poor ability to visualize neurovascular conflicts. Method: Fully endoscopic MVD for GPN was carried out through a retrosigmoid keyhole approach. Neurovascular conflicts were clearly demonstrated with a loop of the posterior inferior cerebellar artery (PICA) under a 30° endoscopic view, and no significant cerebellar retraction was observed. The loop of the PICA was safely decompressed and the perforators were preserved while offering an excellent operative view. Conclusion: Endoscopic MVD is a reliable and minimally invasive method for GPN.

KW - Endoscopic keyhole surgery

KW - Posterior cranial fossa

KW - Root entry zone

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DO - 10.1007/s00701-020-04456-w

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JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

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ER -

How I do it: endoscopic microvascular decompression for glossopharyngeal neuralgia

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