Suboccipital Craniectomy: Retromastoid Approach for Trigeminal Neuralgia

  • Michael Salcman
  • Roberto C. Heros
  • Edward R. LawsJr.
  • Volker K. H. Sonntag


Microvascular decompression of the trigeminal nerve is the most frequently used open surgical procedure for the treatment of trigeminal neuralgia. It is most appropriate for patients with a 5-year expected survival who have had medically refractory trigeminal neuralgia for less than 8 to 10 years. The best results are obtained in patients who are neurologically intact without facial burning or numbness and in those who have not undergone a prior destructive procedure directed at the Vth nerve. The operation is carried out through a retromastoid suboccipital craniectomy, similar in many ways to the procedure described in chapter 25.


Trigeminal Neuralgia Jugular Foramen Superior Cerebellar Artery Microvascular Decompression Suboccipital Craniectomy 
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Copyright information

© Springer-Verlag New York, Inc. 2004

Authors and Affiliations

  • Michael Salcman
    • 1
  • Roberto C. Heros
    • 2
  • Edward R. LawsJr.
    • 3
  • Volker K. H. Sonntag
    • 4
    • 5
  1. 1.Sinai HospitalBaltimoreUSA
  2. 2.Department of Neurological SurgeryUniversity of Miami School of MedicineMiamiUSA
  3. 3.Department of Neurological SurgeryUniversity of Virginia Health Sciences CenterCharlottesvilleUSA
  4. 4.University of ArizonaUSA
  5. 5.Barrow Neurological InstitutePhoenixUSA

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