How I do it: two-step transposition technique during endoscopic microvascular decompression for trigeminal neuralgia

Fuminari Komatsu; Yoko Kato; Yuichi Hirose

doi:10.1007/s00701-021-05080-y

How I do it: two-step transposition technique during endoscopic microvascular decompression for trigeminal neuralgia

Fuminari Komatsu, Yoko Kato, Yuichi Hirose

Neurosurgery

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

1 Citation (Scopus)

Abstract

Background: Endoscopic microvascular decompression (eMVD) provides excellent visualization and minimally invasive surgical treatment of trigeminal neuralgia (TN). The transposition technique is desirable for long-term outcomes of TN. Method: A two-step transposition technique is performed during eMVD for TN due to the arch-shaped superior cerebellar artery (SCA). First, the cerebellomesencephalic segment of the SCA is pulled out using oxycellulose balls. Second, the retracted lateral pontomesencephalic segment of the SCA is detached from the trigeminal nerve and is transposed for fixation at the tentorium cerebelli. Conclusion: The two-step transposition technique offers simple, reliable decompression for TN due to the arch-shaped SCA.

Original language	English
Pages (from-to)	823-826
Number of pages	4
Journal	Acta Neurochirurgica
Volume	164
Issue number	3
DOIs	https://doi.org/10.1007/s00701-021-05080-y
Publication status	Published - 03-2022

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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title = "How I do it: two-step transposition technique during endoscopic microvascular decompression for trigeminal neuralgia",

abstract = "Background: Endoscopic microvascular decompression (eMVD) provides excellent visualization and minimally invasive surgical treatment of trigeminal neuralgia (TN). The transposition technique is desirable for long-term outcomes of TN. Method: A two-step transposition technique is performed during eMVD for TN due to the arch-shaped superior cerebellar artery (SCA). First, the cerebellomesencephalic segment of the SCA is pulled out using oxycellulose balls. Second, the retracted lateral pontomesencephalic segment of the SCA is detached from the trigeminal nerve and is transposed for fixation at the tentorium cerebelli. Conclusion: The two-step transposition technique offers simple, reliable decompression for TN due to the arch-shaped SCA.",

author = "Fuminari Komatsu and Yoko Kato and Yuichi Hirose",

note = "Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.",

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T2 - two-step transposition technique during endoscopic microvascular decompression for trigeminal neuralgia

AU - Komatsu, Fuminari

AU - Kato, Yoko

AU - Hirose, Yuichi

PY - 2022/3

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N2 - Background: Endoscopic microvascular decompression (eMVD) provides excellent visualization and minimally invasive surgical treatment of trigeminal neuralgia (TN). The transposition technique is desirable for long-term outcomes of TN. Method: A two-step transposition technique is performed during eMVD for TN due to the arch-shaped superior cerebellar artery (SCA). First, the cerebellomesencephalic segment of the SCA is pulled out using oxycellulose balls. Second, the retracted lateral pontomesencephalic segment of the SCA is detached from the trigeminal nerve and is transposed for fixation at the tentorium cerebelli. Conclusion: The two-step transposition technique offers simple, reliable decompression for TN due to the arch-shaped SCA.

AB - Background: Endoscopic microvascular decompression (eMVD) provides excellent visualization and minimally invasive surgical treatment of trigeminal neuralgia (TN). The transposition technique is desirable for long-term outcomes of TN. Method: A two-step transposition technique is performed during eMVD for TN due to the arch-shaped superior cerebellar artery (SCA). First, the cerebellomesencephalic segment of the SCA is pulled out using oxycellulose balls. Second, the retracted lateral pontomesencephalic segment of the SCA is detached from the trigeminal nerve and is transposed for fixation at the tentorium cerebelli. Conclusion: The two-step transposition technique offers simple, reliable decompression for TN due to the arch-shaped SCA.

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How I do it: two-step transposition technique during endoscopic microvascular decompression for trigeminal neuralgia

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