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. 1983 Dec;46(12):1098–1101. doi: 10.1136/jnnp.46.12.1098

Operative findings on microsurgical exploration of the cerebello-pontine angle in trigeminal neuralgia.

P Richards, H Shawdon, R Illingworth
PMCID: PMC491774  PMID: 6607319

Abstract

The anatomical findings in 52 patients undergoing posterior fossa exploration for idiopathic trigeminal neuralgia are described. Anatomical abnormalities in the cerebello-pontine angle were found in 46. The commonest was an arterial loop indenting or distorting the nerve at the root entry zone. In view of this the operative procedure has been changed from root section to microvascular decompression.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams C. B., Kaye A. H., Teddy P. J. The treatment of trigeminal neuralgia by posterior fossa microsurgery. J Neurol Neurosurg Psychiatry. 1982 Nov;45(11):1020–1026. doi: 10.1136/jnnp.45.11.1020. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Beaver D. L. Electron microscopy of the gasserian ganglion in trigeminal neuralgia. J Neurosurg. 1967 Jan;26(1 Suppl):138–150. doi: 10.3171/jns.1967.26.1part2.0138. [DOI] [PubMed] [Google Scholar]
  3. Constans J. P., Visot A., Fredy D., Dorland P. Anévrysme géant du tronc basilaire révélé par une névralgie faciale essentielle. Neurochirurgie. 1976 Sep-Oct;22(5):493–502. [PubMed] [Google Scholar]
  4. GARDNER W. J. Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J Neurosurg. 1962 Nov;19:947–958. doi: 10.3171/jns.1962.19.11.0947. [DOI] [PubMed] [Google Scholar]
  5. GARDNER W. J., MIKLOS M. V. Response of trigeminal neuralgia to decompression of sensory root; discussion of cause of trigeminal neuralgia. J Am Med Assoc. 1959 Aug 8;170(15):1773–1776. doi: 10.1001/jama.1959.03010150017004. [DOI] [PubMed] [Google Scholar]
  6. HARRIS W. Rare forms of paroxysmal trigeminal neuralgia, and their relation to disseminated sclerosis. Br Med J. 1950 Nov 4;2(4687):1015–1019. doi: 10.1136/bmj.2.4687.1015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hardy D. G., Rhoton A. L., Jr Microsurgical relationships of the superior cerebellar artery and the trigeminal nerve. J Neurosurg. 1978 Nov;49(5):669–678. doi: 10.3171/jns.1978.49.5.0669. [DOI] [PubMed] [Google Scholar]
  8. Jannetta P. J. Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg. 1967 Jan;26(1 Suppl):159–162. doi: 10.3171/jns.1967.26.1part2.0159. [DOI] [PubMed] [Google Scholar]
  9. KING R. B., BARNETT J. C. Studies of trigeminal nerve potentials; overreaction to tactile facial stimulation in acute laboratory preparations. J Neurosurg. 1957 Nov;14(6):617–627. doi: 10.3171/jns.1957.14.6.0617. [DOI] [PubMed] [Google Scholar]
  10. Kerr F. W. Pathology of trigeminal neuralgia: light and electron microscopic observations. J Neurosurg. 1967 Jan;26(1 Suppl):151–156. doi: 10.3171/jns.1967.26.1part2.0151. [DOI] [PubMed] [Google Scholar]
  11. Pertuiset B., Philippon J., Fohanno D., Khalil M. Traitement microchirurgical de la névralgie faciale essentielle par neurotomie rétrogassérienne sélective transtentorielle. Rev Neurol (Paris) 1972 Feb;126(2):97–106. [PubMed] [Google Scholar]
  12. RUGE D., BROCHNER R., DAVIS L. A study of the treatment of 637 patients with trigeminal neuralgia. J Neurosurg. 1958 Sep;15(5):528–536. doi: 10.3171/jns.1958.15.5.0528. [DOI] [PubMed] [Google Scholar]
  13. Taarnhøj P. Decompression of the posterior trigeminal root in trigeminal neuralgia. A 30-year follow-up review. J Neurosurg. 1982 Jul;57(1):14–17. doi: 10.3171/jns.1982.57.1.0014. [DOI] [PubMed] [Google Scholar]

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