Operative Decompressions of N. V and N. VII in the Cerebellopontine Angle

Figs. 168 to 184
  • Wolfgang Seeger


Trigeminal Neuralgia Sinus Transversus Sinus Sigmoideus Topographical Relation Penetration Point 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Apfelbaum, R. I.: A comparison of percutaneous radiofrequency trigeminal neurolysis and microvascular decompression of the trigeminal nerve for the treatment of tic douloureux. Neurosurgery 1, 16–21 (1977).PubMedCrossRefGoogle Scholar
  2. Apfelbaum, R. I.: Surgical management of disorders of lower cranial nerves. In: Current Techniques in Operative Neurosurgery, 2nd ed. (Schmidek, H. H., ed.). New York: Grune/Stratton (1982).Google Scholar
  3. Atkinson, W. J.: The anterior inferior cerebellar artery: Its variations, pontine distributions, and significance in the surgery of cerebellop-ontine angle tumors. J. Neurol. Neurosurg. Psychiat. 12, 137–151 (1949).PubMedCrossRefGoogle Scholar
  4. Burchiel, K. J., Steege, T. D., Howe, J. F., Loeser, J. D.: Comparison of percutaneous radiofrequency gangliolysis and microvascular decompression for the surgical management of tic douloureux. Neurosurgery 9, 111–119, (1981).PubMedCrossRefGoogle Scholar
  5. Campbell, E., Keedy, C.: Hemifacial spasm: A note of the etiology in two cases. J. Neurosurg. 4, 342–347 (1944).Google Scholar
  6. Cushing, H.: The major trigeminal neuralgias and their surgical treatment based on experiences with 332 gasserian operations; the varieties of facial neuralgia. Am. J. Med. Sci. 160, 157–184 (1920).CrossRefGoogle Scholar
  7. Dandy, W. E.: An operation for the cure of tic douloureux. Partial section of the sensory root at the pons. Arch. Surg. 18, 687–734 (1929).CrossRefGoogle Scholar
  8. Dandy, W. E.: The treatment of trigeminal neuralgia by the cerebellar route. Ann. Surg. 96, 787–795 (1932).PubMedCrossRefGoogle Scholar
  9. Dandy, W. E.: Concerning the cause of trigeminal neuralgia. Am. J. Surg. 24, 447–455 (1934).CrossRefGoogle Scholar
  10. Dandy, W. E.: Trigeminal neuralgia and trigeminal tic douloureux. In: Lewis’ Practice of Surgery, Vol. 12, pp. 167–187. Hagerstown, Md.: W. F. Prior (1946).Google Scholar
  11. Fisch, U.: The surgical anatomy of the so-called internal auditory artery. In: Disorders of the Skull Base Region; Proceedings: Nobel Symposium, 10th, Stockholm, 1968 (Hamberger, C.-A., Wersäll, J., eds.), pp. 121–130. Stockholm: Almqvist and Wiksell, New York: Wiley (1968).Google Scholar
  12. Gardner, W. J.: The mechanism of tic douloureux. Trans. Am. Neurol. Assoc. 78, 168–173 (1953).Google Scholar
  13. Gardner, W. J.: Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J. Neurosurg. 19, 947–957 (1962).PubMedCrossRefGoogle Scholar
  14. Gardner, W. J., Miklos, W. V.: Response of trigeminal neuralgia to ‘decompression’ of sensory route: Discussion of cause of trigeminal neuralgia. JAMA 170, 1773–1776 (1959).CrossRefGoogle Scholar
  15. Gardner, W. J., Sava, G. A.: Hemifacial spasm — A reversible pathophysiologic state. J. Neurosurg. 20, 240–247 (1962).Google Scholar
  16. German, W. J.: Surgical treatment of spasmodic facial tic. Surgery 11, 912–914 (1942).Google Scholar
  17. Granit, R., Skoglund, C. R., Leksell, L.: Fibre interaction in injured or compressed region of nerve. Brain 67, 125–140 (1944).CrossRefGoogle Scholar
  18. Haines, S. J., Jannetta, P. J., Zorub, D. S.: Microvascular relations of the trigeminal nerve: An anatomical study with clinical correlation. J. Neurosurg. 52, 381–386 (1980).PubMedCrossRefGoogle Scholar
  19. Haines, S. J., Martinez, A. J., Jannetta, P. J.: Arterial cross compression of the trigeminal nerve at the pons in trigeminal neuralgia: Case report with autopsy findings. J. Neurosurg. 50, 257–259 (1979).PubMedCrossRefGoogle Scholar
  20. Hanraets, P. R.: Surgical treatment of trigeminal neuralgia following the method of Dandy. Psychiatr. Neurol. Neurochir. 73, 441–446 (1970).PubMedGoogle Scholar
  21. Hardy, D. G., Rhoton, A. L.: Microsurgical relationships of the superior cerebellar artery and the trigeminal nerve. J. Neurosurg. 49, 669–678 (1978).Google Scholar
  22. Jannetta, P. J.: Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J. Neurosurg. (Suppl.) 26, 159–162 (1967).PubMedCrossRefGoogle Scholar
  23. Jannetta, P. J.: Microsurgical exploration and decompression of the facial nerve in hemifacial spasm. Curr. Topics Surg. Res. 2, 217–220 (1970).Google Scholar
  24. Jannetta, P. J.: Trigeminal and glossopharyngeal neuralgia. Curr. Diagnosis 3, 849–850 (1971).Google Scholar
  25. Jannetta, P. J.: Neurovascular compression of the facial nerve in hemifacial spasm. Relief by microsurgical technique. In: Reconstructive Surgery of Brain Arteries (Merei, R. T., ed.), pp. 193–199. Budapest, Hungary: Akademiai Kiado (1974).Google Scholar
  26. Jannetta, P. J.: Neurovascular cross-compression in patients with hyperactive dysfunction symptoms of the eighth cranial nerve. Surg. Forum 26, 467–469 (1975).PubMedGoogle Scholar
  27. Jannetta, P. J.: Microsurgical approach to the trigeminal nerve for tic douloureux. In: Progress in Neurological Surgery, Vol. 7: Pain — Its Neurosurgical Management (Krayenbühl, H., Maspes, P. S., Sweet, W. H., eds.), pp. 180–200. Basel: S. Karger (1976).Google Scholar
  28. Jannetta, P. J.: Observations on the etiology of trigeminal neuralgia, hemifacial spasm, acoustic nerve dysfunction and glossopharyngeal neuralgia: Definitive microsurgical treatment and results in 117 patients. Neurochirurgia (Stuttg.) 20, 145–154 (1977).Google Scholar
  29. Jannetta, P. J.: Treatment of trigeminal neuralgia by suboccipital and transtentorial cranial operations. Clin. Neurosurg. 24, 538–549 (1977).PubMedGoogle Scholar
  30. Jannetta, P. J.: Microsurgery of cranial nerve cross-compression. Clin. Neurosurg. 26, 607–615, (1979).PubMedGoogle Scholar
  31. Jannetta, P. J.: Treatment of trigeminal neuralgia. Neurosurgery 4, 93–94 (1979).PubMedCrossRefGoogle Scholar
  32. Jannetta, P. J., Abbasy, M., Maroon, J. C., Ramos, F. M., Albin, M. S.: Hemifacial spasm: Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J. Neurosurg. 47, 321–328 (1977).PubMedCrossRefGoogle Scholar
  33. Jannetta, P. J., Hackett, E., Ruby, J. R.: Electromyographic and electron microscopic correlates in hemifacial spasm treated by microsurgical relief of neurovascular compression. Surg. Forum 21, 449–451 (1970).PubMedGoogle Scholar
  34. Jannetta, P. J., Rand, R. W.: Microanatomy of the trigeminal nerve. Anat. Rec. 154–362 (1966).Google Scholar
  35. Jannetta, P. J., Rand, R. W.: Transtentorial retro-gasserian rhizotomy in trigeminal neuralgia by microneurosurgical technique. Bull., L. A. Neurol. Soc. 31, 93–99 (1966).Google Scholar
  36. Lang, J.: Klinische Anatomie des Kopfes. Berlin-Heidelberg-New York: Springer (1981).Google Scholar
  37. Lanz, T. von, Wachsmuth, W.: Praktische Anatomie, Vol. 1/1B. Berlin-Heidelberg-New York: Springer (1979).Google Scholar
  38. Lee, F. C.: Trigeminal neuralgia. J. Med. Assoc. Georgia 26, 431 (1937).Google Scholar
  39. Lewy, F. H., Grant, F. C.: Physiopathologic and pathoanatomic aspects of major trigeminal neuralgia. Arch. Neurol. Psychiat. 40, 1126–1134 (1938).Google Scholar
  40. Liliequist, B.: The subarachnoid cisterns. Anatomic and roentgenologic study. Acta radiol. (Stockh.) Suppl. 185, 1959.Google Scholar
  41. Martin, R. G., Grant, J. L., Peace, D., Theiss, C., Rhoton, A. L. : Microsurgical relationships of the anterior inferior cerebellar artery and the facial-vestibulocochlear nerve complex. Neurosurgery 6, 483–507 (1980).PubMedCrossRefGoogle Scholar
  42. Matsushima, Y., et al.: A new surgical treatment of moyamoya disease in children: a preliminary report. Surg. Neurol. 15, 313–320 (1981).PubMedCrossRefGoogle Scholar
  43. Mazzoni, A.: Internal auditory canal: Arterial relations at the porus acusticus. Ann. Otol. Rhinol. Laryngol. 78, 797–814 (1969).PubMedGoogle Scholar
  44. Nager, G. T.: Origins and relations of the internal auditory artery and the subarcuate artery. Ann. Otol. Rhinol. Laryngol. 63, 51–61 (1954).PubMedGoogle Scholar
  45. Naidich, T. P., Kricheff, I. I., George, A. E., Lin, J. P.: The anterior inferior cerebellar artery in mass lesions: Preliminary findings with emphasis on the lateral projection. Radiology 119, 375–383 (1976).PubMedGoogle Scholar
  46. Nieuwenhuys, R., Voogd, J., van Juijzen, Chr.: The Human Central Nervous System. A Synopsis and Atlas. Berlin-Heidelberg-New York: Springer (1978).CrossRefGoogle Scholar
  47. Palacios, E., Fine, M., Haughton, V. M.: Multiplanar Anatomy of the Head and Neck for Computed Tomography. New York: John Wiley & Sons (1980).Google Scholar
  48. Rand, R. W.: Microneurosurgery. 2nd ed. St. Louis: Mosby (1978).Google Scholar
  49. Rand, R. W.: Functional and Anatomic Localization in the Trigeminal Root: in Support of Dandy. In: Current Controversies in Neurosurgery (Morley, T. P., ed.), pp. 533–538. Philadelphia: Saunders (1976).Google Scholar
  50. Rand, R. W.: Microsurgical operations in the treatment of trigeminal neuralgia. J. Microsurg. 1, 101–107 (1979).PubMedCrossRefGoogle Scholar
  51. Rand, R. W.: Gardner neurovascular decompression of the trigeminal and facial nerves for tic douloureux and hemifacial spasm. Surg. Neurol. 16, 329–332 (1981).PubMedCrossRefGoogle Scholar
  52. Rand, R. W., Jannetta, P. J.: Microneurosurgery: application of the binocular surgical microscope in brain tumors, intracranial aneurysms, spinal cord disease and nerve reconstruction. Clin. Neurosurg. 15, 319–342 (1967).Google Scholar
  53. Rhoton, A. L.: Microsurgical removal of acoustic neuromas. Surg. Neurol. 6, 211–219 (1976).PubMedGoogle Scholar
  54. Rhoton, A. L.: Microsurgical neurovascular decompression for trigeminal neuralgia and hemifacial spasm. J. Fla. Med. Assoc. 65, 425–428 (1978).PubMedGoogle Scholar
  55. Samii, M., Draf, W.: Course on Surgery of the Skull Base. Hannover, West Germany (1979).Google Scholar
  56. Samii, M., Draf, W.: Course on the Surgery of the Posterior Skull Base. Hannover, West-Germany (1982).Google Scholar
  57. Samii, M., Jannetta, P. J.: Symposium on Cranial Nerves. Hannover, West-Germany (1980).Google Scholar
  58. Scoville, W. B.: Partial extracranial section of seventh nerve for hemifacial spasm. J. Neurosurg. 31, 106–108 (1969).PubMedCrossRefGoogle Scholar
  59. Seeger, W.: Atlas of Topographical Anatomy of the Brain and Surrounding Structures. Wien-New York: Springer (1978).Google Scholar
  60. Seeger, W.: Microsurgery of the Brain. Anatomical and Technical Principles, Vol. 1–1-2. Wien-New York: Springer (1980).Google Scholar
  61. Spiller, W. G., Frazier, C. H.: Tic douloureux; anatomic and clinical basis for subtotal section of sensory root of trigeminal nerve. Arch. Neurol. Psychiat. 29, 50–55 (1933).Google Scholar
  62. Sunderland, S.: The arterial relations of the internal auditory meatus. Brain 68, 23–27 (1945).CrossRefGoogle Scholar
  63. Taarnh0j, P.: Decompression of the trigeminal root and the posterior part of the ganglion as treatment in trigeminal neuralgia. Preliminary communication. J. Neurosurg. 9, 288–290 (1952).PubMedCrossRefGoogle Scholar
  64. Taarnh0j, P.: Ny operation ved trigeminus neuralgi. Decompression af trigeminusroden og gangliets bageste del. Nord. Med. 47, 360–361 (1952).PubMedGoogle Scholar
  65. Taarnh0j, P.: Decompression of the trigeminal root. J. Neurosurg. 11, 299–305 (1954).PubMedCrossRefGoogle Scholar
  66. Taarnh0j, P.: Trigeminal neuralgia and decompression of the trigeminal root. Surg. Clin. North. Am. 36 (4), 1145–1157 (1956).Google Scholar
  67. Waga, S., Marikawa, A., Kojima, T.: Trigeminal neuralgia: Compression of the trigeminal nerve by an elongated and dilated basilar artery. Surg. Neurol. 11, 13–16 (1979).PubMedGoogle Scholar
  68. Watt, J. C., McKillip, A. N.: Relation of arteries to roots of nerves in posterior cranial fossa in man. Arch. Surg. 30, 336–345 (1935).CrossRefGoogle Scholar
  69. Willis, T.: The Anatomy of the Brain and Nerves. Tercentenary ed. 1664, Feindel, W. Montreal: McGill University Press. 1965.Google Scholar
  70. Wilson, McClure: The Anatomical Foundation of Neurology of the Brain Subarachnoid Spaces. Chapter 4, pp. 93–103. Boston: Little, Brown. 1963 and 1972.Google Scholar
  71. Wilson, C. B., Torke, C., Prioleiau, G.: Microsurgical vascular decompression for trigeminal neuralgia and hemifacial spasm. West. J. Med. 132, 481–484 (1980).PubMedGoogle Scholar
  72. Wolf, B. S., Huang, Y. P., Newman, C. M.: Lateral anastomotic mesencephalic vein and other variations in drainage of basal cerebral vein. Amer. J. Roentgenol. 89, 411–422 (1963).PubMedGoogle Scholar
  73. Yaşargil, M. G., Fox, J. L.: The microsurgical approach to acoustic neuromas. Surg. Neurol. 2, 393–398 (1974).PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1983

Authors and Affiliations

  • Wolfgang Seeger
    • 1
  1. 1.University of Freiburg i. Br.Federal Republic of Germany

Personalised recommendations