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Microvascular decompression for trigeminal neuralgia caused by trigeminocerebellar artery

Norio Ichimasu, Nobuyuki Nakajima, Ken Matsushima, Michihiro Kohno, and Yutaka Takusagawa

Transcript This video will demonstrate the microvascular decompression for trigeminal neuralgia caused by the trigeminocerebellar artery. 0:29 Clinical History. This 53-year-old woman was presented to our hospital suffering from facial pain on her right side. Her symptoms began 4 years previously and were characterized by an electric shooting pain in the right maxillary division of the trigeminal nerve. The pain was triggered by brushing her teeth or washing her face. The patient was diagnosed with trigeminal neuralgia, and a treatment of oral carbamazepine was

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Gamma Knife radiosurgery for bilateral trigeminal neuralgia

Corbin A. Helis, Emory McTyre, Michael T. Munley, J. Daniel Bourland, John T. Lucas Jr., Christina K. Cramer, Stephen B. Tatter, Adrian W. Laxton, and Michael D. Chan

for the treatment of trigeminal neuralgia in multiple sclerosis . World Neurosurg 97 : 590 – 594 , 2017 10.1016/j.wneu.2016.10.028 27756676 2 Attia A , Tatter SB , Weller M , Marshall K , Lovato JF , Bourland JD , : CT-only planning for Gamma Knife radiosurgery in the treatment of trigeminal neuralgia: methodology and outcomes from a single institution . J Med Imaging Radiat Oncol 56 : 490 – 494 , 2012 22883661 10.1111/j.1754-9485.2012.02403.x 3 Barker FG II , Jannetta PJ , Bissonette DJ , Larkins MV , Jho HD : The long

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Internal neurolysis versus intraoperative glycerin rhizotomy for trigeminal neuralgia

Risheng Xu, Joshua Materi, Divyaansh Raj, Safwan Alomari, Yuanxuan Xia, Sumil K. Nair, Pavan P. Shah, Nivedha Kannapadi, Timothy Kim, Judy Huang, Chetan Bettegowda, and Michael Lim

on behalf of all authors: Lim. Statistical analysis: Materi. Study supervision: Lim. References 1 Yadav YR , Nishtha Y , Sonjjay P , Vijay P , Shailendra R , Yatin K . Trigeminal neuralgia . Asian J Neurosurg . 2017 ; 12 ( 4 ): 585 – 597 . 29114270 10.4103/ajns.AJNS_67_14 2 Cruccu G , Di Stefano G , Truini A . Trigeminal neuralgia . N Engl J Med . 2020 ; 383 ( 8 ): 754 – 762 . 32813951 10.1056/NEJMra1914484 3 Cheshire WP . Trigeminal neuralgia: diagnosis and treatment . Curr Neurol Neurosci Rep . 2005 ; 5 ( 2 ): 79

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Trigeminal neuralgia secondary to osteoma and vascular compression: illustrative case

Chenglong Cao, Mingwu Li, Min Wu, and Xiaofeng Jiang

Trigeminal neuralgia (TN) is an typical condition characterized by neuropathic facial pain. Its prevalence is between 4 to 13 cases per 100,000 persons, primarily affecting individuals above the age of 50 years. 1 , 2 Updated diagnostic categories have been proposed. 3 , 4 Classic TN requires confirmation of morphological changes in the trigeminal nerve root resulting from vascular compression. Secondary TN is due to an identifiable underlying neurological disease. The most common factors contributing to secondary TN are tumors (such as meningiomas

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Trigeminal neuralgia secondary to vascular compression and neurocysticercosis: illustrative case

Mao Vásquez, Luis J. Saavedra, Hector H. García, Evelyn Vela, Jorge E. Medina, Miguel Lozano, Carlos Hoyos, and William W. Lines-Aguilar

Trigeminal neuralgia (TN) is the most common type of facial pain, negatively affecting quality of life and work capacity in 34% of patients. 1 TN has a prevalence of 4–13 cases per 100,000 inhabitants 1–3 and generally affects patients older than 50 years, with a female-to-male ratio of 1.5 to 1. In primary (classic) TN, compression by vascular loops is found at the entrance of the trigeminal nerve to the brainstem. 4 , 5 In secondary TN, 6 , 7 extrinsic compression of the trigeminal nerve triggers the pain. The most common causes of extrinsic TN are

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Anesthesia-induced Takotsubo cardiomyopathy in trigeminal neuralgia: illustrative case

Guido Mazzaglia, Giulio Bonomo, Emanuele Rubiu, Paolo Murabito, Alessia Amato, Paolo Ferroli, and Marco Gemma

, trigeminal neuralgia is linked with sudden pain and prolonged suffering that may provoke a physical and psychological stress response. In this paper, we present a case of TS that manifested during induction of anesthesia to perform a surgical microvascular decompression (MVD) of the left trigeminal nerve in a patient with trigeminal neuralgia. We expose the peculiar clinical picture and discuss the possible underlying pathophysiological mechanisms. Illustrative Case We present a case of a 50-year-old female patient scheduled for an MVD who presented immediately

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Small vestibular schwannoma presented with trigeminal neuralgia: illustrative case

Keisuke Onoda, Yoshifumi Ogasawara, Yu Hirokawa, Ryohei Sashida, Ren Fujiwara, Tomihiro Wakamiya, Yuhei Michiwaki, Tatsuya Tanaka, Kazuaki Shimoji, Eiichi Suehiro, Fumitaka Yamane, Masatou Kawashima, and Akira Matsuno

Trigeminal neuralgia (TN) is a paroxysmal electric shock pain on one side of the face triggered by washing the face, eating, and speaking and is often caused by vascular compression of the trigeminal nerve. 1 TN can also be caused by compression of the trigeminal nerve by a tumor of the cerebellar pontine angle, but this is relatively rare. 2 Epidermoid is the most commonly found cerebellar pontine angle tumor causing TN, and vestibular schwannomas (VSs) are relatively uncommon, 2 occurring in only about 1.2%–3.3% of VSs. 3–5 There are 2 etiologies

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Stereotactic radiosurgery for trigeminal neuralgia: a systematic review

International Stereotactic Radiosurgery Society practice guidelines

Constantin Tuleasca, Jean Régis, Arjun Sahgal, Antonio De Salles, Motohiro Hayashi, Lijun Ma, Roberto Martínez-Álvarez, Ian Paddick, Samuel Ryu, Ben J. Slotman, and Marc Levivier

medication; V, continued severe pain or no pain relief. 118 Other studies used the classification proposed by Eller et al., 29 which refers to idiopathic TN types 1 and 2. Trigeminal neuralgia type 1 (TN1) is described as typically sharp, shooting, electrical shock–like, episodic pain that is present more than 50% of the time but with pain-free intervals between attacks; TN2 is described as an aching, throbbing, or burning pain that is present more than 50% of the time but is constant in nature (constant background pain being the most significant attribute). The

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Right medium-sized vestibular schwannoma with trigeminal neuralgia post-fractionated radiotherapy

Kunal Vakharia, Anthony L. Mikula, Ashley M. Nassiri, Colin L. W. Driscoll, and Michael J. Link

Transcript 0:22 Description of Patient. Here we describe the resection of a right-sided medium vestibular schwannoma with trigeminal neuralgia status post-fractionated radiotherapy. Patient is a 51-year-old female with right-sided V2 trigeminal pain who was found to have a vestibular schwannoma that underwent fractionated radiotherapy with 48.6 Gy in 27 fractions over a 2-month period at an outside institution. She had sharp, persistent, lightening-type pain 6 months after radiotherapy. On exam she had reduced pinprick in V1–V2 down the angle

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Results of a third Gamma Knife radiosurgery for trigeminal neuralgia

Corbin A. Helis, Ryan T. Hughes, Michael T. Munley, J. Daniel Bourland, Travis Jacobson, John T. Lucas Jr., Christina K. Cramer, Stephen B. Tatter, Adrian W. Laxton, and Michael D. Chan

part at the 61st Annual Meeting of the American Society for Radiation Oncology (ASTRO) held in Chicago, IL, on September 15–18, 2019. References 1 Pollock BE . Surgical management of medically refractory trigeminal neuralgia . Curr Neurol Neurosci Rep . 2012 ; 12 ( 2 ): 125 – 131 . 10.1007/s11910-011-0242-7 22183181 2 Kondziolka D , Zorro O , Lobato-Polo J , Gamma Knife stereotactic radiosurgery for idiopathic trigeminal neuralgia