Intraoperative monitoring of trigeminal neuralgia: a technical note.
Yudai MorisakiTsunenori TakataniMasashi KotsugiShintaro YamazakiShohei YokoyamaKenta NakaseYasuhiro TakeshimaFumihiko NishimuraRyosuke MatsudaShuichi YamadaYong-Soo ParkIchiro NakagawaPublished in: Acta neurochirurgica (2024)
Trigeminal neuralgia causes excruciating pain in patients. Microvascular decompression is indicated for drug-resistant s trigeminal neuralgia. Unlike facial spasms, any part of the nerve can be the culprit, not only the root entry zone. Intraoperative monitoring does not yet exist for trigeminal neuralgia. We successfully used intermittent stimulation of the superior cerebellar artery during surgery and confirmed the disappearance of the trigeminal nerve motor branch reaction after the release of the compression. Intermittent direct stimulation of the culprit blood vessel using the motor branch of the trigeminal nerve may assist in intraoperative monitoring of decompression during trigeminal nerve vascular decompression surgery.
Keyphrases
- neuropathic pain
- minimally invasive
- drug resistant
- spinal cord
- spinal cord injury
- multidrug resistant
- end stage renal disease
- peripheral nerve
- coronary artery bypass
- patients undergoing
- chronic pain
- acinetobacter baumannii
- newly diagnosed
- chronic kidney disease
- high intensity
- surgical site infection
- atrial fibrillation
- percutaneous coronary intervention