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A 10-year experience in the treatment of trigeminal neuralgia

Comparison of percutaneous stereotaxic rhizotomy and posterior fossa exploration

Harry van Loveren, John M. Tew Jr., Jeffrey T. Keller and Mary A. Nurre

, Moses HL , Ganote CE : Electron microscopy of the trigeminal ganglion. II. Autopsy study of human ganglia. Arch Pathol 79 : 557 – 570 , 1965 Beaver DL, Moses HL, Ganote CE: Electron microscopy of the trigeminal ganglion. II. Autopsy study of human ganglia. Arch Pathol 79: 557–570, 1965 3. Beaver DL , Moses HL , Ganote CE : Electron microscopy of the trigeminal ganglion. III. Trigeminal neuralgia. Arch Pathol 79 : 571 – 582 , 1965 Beaver DL, Moses HL, Ganote CE: Electron microscopy of the

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Harry R. van Loveren, Jeffrey T. Keller, Magdy El-Kalliny, Daniel J. Scodary and John M. Tew Jr.

exposed, and the sinus may be entered. Meckel's cave may be exposed by further dissection of dura from the trigeminal ganglion and its second and third divisions. The trigeminal ganglion is separated from the ICA by the bony floor of Meckel's cave which may be incompetent ( Fig. 9 ). Fig. 9. Intradural Steps 5 and 6, involving complete exposure or the cavernous sinus and Meckel's cave. The abducens nerve (VI) can be identified by retraction of the ophthalmic division of the trigeminal nerve (VI). This is the only intracavernous cranial nerve. Roman numerals

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Jamal M. Taha, John M. Tew Jr., Harry R. van Loveren, Jeffrey T. Keller and Magdy El-Kalliny

, lateral wall of the cavernous sinus, and Meckel's cave, better exposes and mobilizes the neural contents of the cavernous sinus and trigeminal ganglion. 5, 6, 9, 10, 26, 28 Unlocking the structures around the superior orbital fissure enables the dura propria of the lateral wall of the cavernous sinus to be reflected backward from the superior orbital fissure or downward from the oculomotor nerve. The superior orbital fissure forms the anterior border of the lateral wall of the cavernous sinus. The dura propria of the lateral wall of the cavernous sinus is the backward