جهت دسترسی به کاربرگه ی زیر، از این لینک استفاده کنید. http://dl.kums.ac.ir/handle/Hannan/126356
Title: Subtemporal transtentorial approach for recurrent trigeminal neuralgia after microvascular decompression via the lateral suboccipital approach: case report.
Authors: Ogiwara, Toshihiro;Goto, Tetsuya;Kusano, Yoshikazu;Kuroiwa, Masafumi;Kiuchi, Takafumi;Kodama, Kunihiko;Takemae, Toshiki;Hongo, Kazuhiro
Keywords: Aged, 80 and over;Craniotomy;Female;Human;Magnetic Resonance Imaging;Microvascular Decompression Surgery;Recurrence;Reoperation;Treatment Outcome;Trigeminal Nerve;Trigeminal Neuralgia;Methods;Pathology;Surgery
Issue Date: 2015
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.
URI: http://dl.kums.ac.ir/handle/Hannan/126356
volume: Volume 122
Issue: Issue 6
month: June
Format: Volume : 122Issue : 6Start page : 1429
END PAGES : 1432
Appears in Collections:Journal of Neurosurgery

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