Suboccipital Craniectomy: Retromastoid Approach for Trigeminal Neuralgia
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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.
KeywordsTrigeminal Neuralgia Jugular Foramen Superior Cerebellar Artery Microvascular Decompression Suboccipital Craniectomy
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