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Utilization of three-dimensional fusion images with high-resolution computed tomography angiography for preoperative evaluation of microvascular decompression: patient series

Takamitsu Iwata, Koichi Hosomi, Naoki Tani, Hui Ming Khoo, Satoru Oshino, and Haruhiko Kishima

Neurovascular compression syndromes, such as trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia, are abnormal conditions that can substantially affect the quality of life of patients. 1–3 Microvascular decompression (MVD) is an effective surgical treatment for drug-resistant cases. 1–4 The overall success rate of MVD varies from 73% to 90%, and the most common complications include hearing loss, facial weakness or numbness, and cerebrospinal fluid leakage. 3 , 5 However, the success of MVD depends on accurate preoperative imaging and