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Trigeminal Microvascular Decompression

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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Abstract

Trigeminal neuralgia is unilateral recurrent episodes of sharp pain. Failing medical treatments require vascular decompression. Complications of the surgery include local ischemia and damage or irritation of the cranial nerve. Neurophysiological intraoperative monitoring (IOM) can be used to identify functional changes that can result in minimizing such complications. Changes of IOM signals can alert the surgeon to reverse course in order to preserve function. IOM changes can be of technical, physiological, pharmacological, positional, or surgical origin. Proper and timely management of such changes may prevent postoperative neurological deficits.

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Authors and Affiliations

  1. Departments of Anesthesiology, Neurological Surgery and Neurology, Northwestern University Feinberg School of Medicine, 251 East Huron Street, F-5-704, Chicago, IL, 60611, USA

    Antoun Koht M.D.

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  1. Antoun Koht M.D.
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Correspondence to Antoun Koht M.D. .

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Editors and Affiliations

  1. Departments of Anesthesiology, Neurological Surgery and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Antoun Koht

  2. Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA

    Tod B. Sloan

  3. Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA

    J. Richard Toleikis

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Koht, A. (2017). Trigeminal Microvascular Decompression. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Cham. https://doi.org/10.1007/978-3-319-46542-5_25

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  • DOI: https://doi.org/10.1007/978-3-319-46542-5_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46540-1

  • Online ISBN: 978-3-319-46542-5

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