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Surgical Reconstruction of Intracranial Lesions of Cranial Nerves

  • F. Loew
  • R. Kivelitz
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 1)

Abstract

In only a few cranial nerves is direct intervention possible on the nerve itself to alleviate intracranial lesions. This is totally impossible for those cranial nerves which actually are brain appendices such as the olfactory and optic nerves. To the best of our knowledge, attempts at nerve suture or anastomosis of the oculomotor nerves have never been made+); perhaps because their path, in the sinus cavernosus, is not accessible to operative approach and their other intracranial paths are reached only with difficulty. Perhaps also owing to the extremely differentiated interplay on the reacting organ, the eye muscle coordination, makes a satisfactory result after nerve suture, unlikely. Yet the possibility exists that merely no one has been interested in this problem. Whatever the case may be, up to now, one had to be satisfied in cases of functional loss of the third, fourth and sixth cranial nerves with a positional correction of the eyeball using surgical manipulation of the eye muscles, primarily an ophthalmological domain with which neurosurgeons are usually not confronted and therefore excluded from this report.

Keywords

Cranial Nerve Facial Nerve Trigeminal Neuralgia Sixth Cranial Nerve Facial Paralysis 
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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References

  1. 1.
    BRAGDON, F.H. and G. H. GRAY, Jr.: Differential spinal accessory-facial anastomosis with preservation of function of trapezius. J. Neurosurg 19, 981–985 (1962)CrossRefGoogle Scholar
  2. 2.
    COLEMAN, C. C. and J. C. WALKER: Technic of anastomosis of the branches of the facial nerve with the spinal accessory for facial nerve paralysis. Ann. Surg. 131, 960–966 (1950)PubMedCrossRefGoogle Scholar
  3. 3.
    CUSHING, H.: The surgical treatment of facial paralysis by nerve anastomosis. With the report of a successful case. Ann. Surg. 37, 641–659 (1903)PubMedGoogle Scholar
  4. 4.
    DOTT, N. M.: Facial paralysis restitution by extrapetrous nerve graft. Proc. Roy. Soc. Med. 51, 900–902 (1958)PubMedGoogle Scholar
  5. 5.
    DRAKE, C.G.: Acoustic neurinoma. Repair of facial with autogenous graft. J. Neurosurg. 17, 836–842 (1960)PubMedCrossRefGoogle Scholar
  6. 6.
    FAURE, J. L.: Traitement chirurgical de la paralysie faciale par l’ anastomose spino-faciale. Rev. Chir. (Paris) 1098–1099 (1898)Google Scholar
  7. 7.
    HARDY, R. C., G. PERRET and R. MEYERS: Phrenico-facial nerve anastomosis for facial paralysis. J. Neurosurg. 14, 400–405 (1957)PubMedCrossRefGoogle Scholar
  8. 8.
    KöRTE, W. and M. BERNHARDT: Ein Fall von Nervenpropfung des Nervus facialis auf den Nervus hypoglossus. Dtsch. Med. WSchr. 29, 293–295 (1903)CrossRefGoogle Scholar
  9. 9.
    LOEW, F.: Die kombinierte intrakranielle-extratemporale Fazialisplastik nach DOTT. Langenbecks Arch. Klin. Chir. 298, 934–935 (1962) und Saarl. Ärzteblatt 9 (1962)Google Scholar
  10. 10.
    LOVE, J. G. and B. W. CANNON: Nerve anastomosis in the treatment of facial paralysis. Special consideration of the etiologic role of total removal of tumors of the acoustic nerve. Arch. Surg. (Chicago) 62, 379–390 (1951)CrossRefGoogle Scholar
  11. 11.
    McKENZIE, K. G. and E. ALEXANDER Jr.: Restoration of facial function by nerve anastomosis. Ann Surg. 132, 411–415 (1950)PubMedCrossRefGoogle Scholar
  12. 12.
    MIGLIAVACCA, F.: Facial nerve anastomosis for facial paralysis following acoustic neurinoma surgery. Acta Neurochir. 17, 274–279 (1968)CrossRefGoogle Scholar
  13. 13.
    SAMII, M.: Diskussion zum Vortrag von H. Millesi: Indikation und Technik der autologen und interfaszikulären Nerventransplantation. Mels. Med. Mitteilungen 46, 189–194 (1972)Google Scholar
  14. 14.
    SUNDER-PLASSMANN, M., V. GRUNERT und J. A. GANGLBERGER: Über die Ergebnisse der Akzessorius- und Hypoglossusanastomosen zur chirurgischen Therapie der Fazialisparese. Wien. Med. WSchr. 47, 880–882 (1970)Google Scholar
  15. 15.
    WATSON-WILLIAMS, E.: Glossopharyngeal-facial nerve anastomosis. Proc. Roy. Soc. Med. 20, 1439–1442 (1927)PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1973

Authors and Affiliations

  • F. Loew
  • R. Kivelitz

There are no affiliations available

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