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Suboccipital Craniectomy: Retromastoid Approach for Trigeminal Neuralgia

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

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.

Keywords

Trigeminal Neuralgia Jugular Foramen Superior Cerebellar Artery Microvascular Decompression Suboccipital Craniectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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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