A tentorial sling in microvascular decompression for trigeminal neuralgia

Technical note

Roger L. Melvill Constantiaberg Medi Clinic, Cape Town, South Africa

Search for other papers by Roger L. Melvill in
Current site
Google Scholar
PubMed
Close
 F.C.S. (Neurosurgery) S.A.
and
Belinda L. Baxter Constantiaberg Medi Clinic, Cape Town, South Africa

Search for other papers by Belinda L. Baxter in
Current site
Google Scholar
PubMed
Close
 M.B., Ch.B.
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $536.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $636.00
USD  $45.00
USD  $536.00
USD  $636.00
Print or Print + Online Sign in

✓ The key to the successful microvascular decompression of the trigeminal nerve is the maintenance of the separation between the trigeminal nerve and the offending vessel. The authors describe a technique whereby a dural sling is fashioned from the tentorium cerebelli (the anatomy of which is briefly reviewed), which is used to suspend the vessel away from the nerve and is secured by a single hemoclip.

  • Collapse
  • Expand
  • 1.

    Bederson JB, & Wilson CB: Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71:359367, 1989 Bederson JB, Wilson CB: Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71:359–367, 1989

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Hamlyn PJ, & King TT: Neurovascular compression in trigeminal neuralgia: a clinical and anatomical study. J Neurosurg 76:948954, 1992 Hamlyn PJ, King TT: Neurovascular compression in trigeminal neuralgia: a clinical and anatomical study. J Neurosurg 76:948–954, 1992

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Jannetta PJ: Treatment of trigeminal neuralgia by suboccipital and transtentorial cranial operations. Clin Neurosurg 24:538549, 1977 Jannetta PJ: Treatment of trigeminal neuralgia by suboccipital and transtentorial cranial operations. Clin Neurosurg 24:538–549, 1977

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Jannetta PJ, , Abbasy M, & Maroon JC, et al: Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg 47:321328, 1977 Jannetta PJ, Abbasy M, Maroon JC, et al: Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg 47:321–328, 1977

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Klintworth GK: The ontogeny and growth of the human tentorium cerebelli. Anat Rec 158:433442, 1967 Klintworth GK: The ontogeny and growth of the human tentorium cerebelli. Anat Rec 158:433–442, 1967

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Klun B: Microvascular decompression and partial sensory rhizotomy in the treatment of trigeminal neuralgia: personal experience with 220 patients. Neurosurgery 30:4952, 1992 Klun B: Microvascular decompression and partial sensory rhizotomy in the treatment of trigeminal neuralgia: personal experience with 220 patients. Neurosurgery 30:49–52, 1992

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Laws ER Jr, , Kelly PJ, & Sundt TM Jr: Clip-grafts in microvascular decompression of the posterior fossa. Technical note. J Neurosurg 64:679681, 1986 Laws ER Jr, Kelly PJ, Sundt TM Jr: Clip-grafts in microvascular decompression of the posterior fossa. Technical note. J Neurosurg 64:679–681, 1986

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Piatt JH Jr, & Wilkins RH: Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic implications of various neurovascular relationships. Neurosurgery 14:462471, 1984 Piatt JH Jr, Wilkins RH: Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic implications of various neurovascular relationships. Neurosurgery 14:462–471, 1984

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Wilkins RH: Historical perspectives, in Rovit RL, , Murali R, & Jannetta PJ (eds): Trigeminal Neuralgia. Baltimore: Williams & Wilkins, 1990, pp 125 Wilkins RH: Historical perspectives, in Rovit RL, Murali R, Jannetta PJ (eds): Trigeminal Neuralgia. Baltimore: Williams & Wilkins, 1990, pp 1–25

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Williams PL, , Warwick R, & Dyson M, et al (eds): Gray's Anatomy, ed 37. London: Churchill Livingston, 1989, pp 10861087 Williams PL, Warwick R, Dyson M, et al (eds): Gray's Anatomy, ed 37. London: Churchill Livingston, 1989, pp 1086–1087

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Zhang KW, , Zhao YH, & Shun ZT, et al: Microvascular decompression by retrosigmoid approach for trigeminal neuralgia: experience in 200 patients. Ann Otol Rhinol Laryngol 99:129130, 1990 Zhang KW, Zhao YH, Shun ZT, et al: Microvascular decompression by retrosigmoid approach for trigeminal neuralgia: experience in 200 patients. Ann Otol Rhinol Laryngol 99:129–130, 1990

    • PubMed
    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 772 188 26
Full Text Views 209 10 1
PDF Downloads 143 13 3
EPUB Downloads 0 0 0