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Intraoperative and Postoperative Bleeding in Microvascular Decompression for Trigeminal Neuralgia.
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OBJECTIVE
The surgical approach for the trigeminal nerve involves veins connected to the superior petrosal and tentorial sinus, and we should pay special attention to these veins. We investigated intraoperative and postoperative bleeding using our database.
METHODS
A prospectively accumulated
Resolution of trigeminal neuralgia following pontine haemorrhage.
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Trigeminal neuralgia is characterized by paroxysms of pain in the sensory distribution of the trigeminal nerve usually caused by vascular compression of the trigeminal nerve at the root entry zone. We describe a 57-year-old woman who experienced complete resolution of trigeminal neuralgia following
Dangerous rises in blood pressure upon heating of trigeminal rootlets; increased bleeding times in patients with trigeminal neuralgia.
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During radiofrequency (RF) heating of trigeminal rootlets, we regularly measured blood pressure rises to 250 to 300 mm Hg, confirming two previous reports. We also found abnormally increased bleeding times in 12% of 127 patients awaiting operation for trigeminal neuralgia. These two facts probably
Neurovascular headache and occipital neuralgia secondary to bleeding of bulbocervical cavernoma.
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It has recently been suggested that the trigeminocervical complex plays a crucial role in the pathophysiology of neck discomfort that accompanies migraine attacks. Clinical and neurophysiological data have shown that pain within the occipital area may be transmitted by the first trigeminal branch,
[Impacts of bleeding and cupping therapy on serum P substance in patients of postherpetic neuralgia].
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OBJECTIVE
To observe the effect of bleeding and cupping therapy on postherpetic neuralgia (PHN) and preliminarily discuss the analgesic mechanism.
METHODS
Sixty-four cases of PHN were randomized into two groups, 32 cases in each one. In the bleeding and cupping group, the local pricking with syringe
Modified skin incision for avoiding the lesser occipital nerve and occipital artery during retrosigmoid craniotomy: potential applications for enhancing operative working distance and angles while minimizing the risk of postoperative neuralgias and intraoperative hemorrhage.
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Chronic postoperative neuralgias and headache following retrosigmoid craniotomy can be uncomfortable for the patient. We aimed to better elucidate the regional nerve anatomy in an effort to minimize this postoperative complication. Ten adult cadaveric heads (20 sides) were dissected to observe the
[Unilateral tonsillectomy complicated by glossopharyngeal nerve neuralgia and late hemorrhage from the tonsillar segment].
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Dolichoectasia of basilar artery : a cause of trigeminal neuralgia and haemorrhage.
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Harvey Cushing's case series of trigeminal neuralgia at the Johns Hopkins Hospital: a surgeon's quest to advance the treatment of the 'suicide disease'.
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BACKGROUND
A review of Dr. Harvey Cushing's surgical cases at the Johns Hopkins Hospital provided insight into his early work on trigeminal neuralgia (TN). There was perhaps no other affliction that captured his attention in the way that TN did, and he built a remarkable legacy of successful
Pathological findings following trigeminal neuralgia radiosurgery.
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Autopsy, 3D MRI and histopathological findings are presented in a patient who had suffered from trigeminal neuralgia and was treated two times by radiosurgery. The first treatment was performed with 90 Gy at the distal part of the nerve. Because of recurrent pain, a second irradiation was carried
Use of Superior Petrosal Venous Complex to Transpose the Superior Cerebellar Artery in Microvascular Decompression for Trigeminal Neuralgia: 2-dimensional operative video
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Trigeminal neuralgia is a cause of severe facial pain, usually provoked by a neurovascular conflict, commonly involving the superior cerebellar artery (SCA).1 The superior petrosal venous complex is in the way toward the nerve through a retrosigmoid approach and can narrow the working
Vascular Offenders in Trigeminal Neuralgia: A Unified Classification and Assessment of the Outcome of Microvascular Decompression.
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Dural Arteriovenous Fistula Presenting as Trigeminal Neuralgia: Two Case Reports and Review of the Literature.
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Dural arteriovenous fistulae (dAVF) can sporadically compress the root entry zone (REZ) of the trigeminal nerve or the Gasserian ganglion and can therefore be a rare cause of isolated or complicated trigeminal neuralgia (TN). We describe two cases of TN related to dAVF treated similarly with
Occipital neuralgia as a presenting symptom of cervicomedullary dural arteriovenous fistula.
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Dural arteriovenous fistulas (DAVFs) at the cervicomedullary junction are rare and have a wide variation in presentation. We report a case of occipital neuralgia (ON) as a rare presenting symptom of cervicomedullary DAVF causing intramedullary hemorrhage at the C1 level. It is important to consider
Cognard Grade IV Tentorial Dural Arteriovenous Fistula Presenting as Trigeminal Neuralgia: Endovascular Management
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Tentorial dural arteriovenous fistulas (dAVF) have an increased risk of rupture and hemorrhage and therefore require urgent treatment to occlude the fistula and proximal venous drainage. This is usually accomplished via endovascular treatment. We present a case of a Cognard Grade IV dAVF which
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