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Dorsal root entry zone lesioning, damaging the point where sensory nerve fibers meet spinal cord fibers, produced favorable results in some patients and poor results in others, with incidence of ataxia at 40%. Patient numbers were small, follow-up was short and existing evidence does not indicate long term efficacy.
The three major branches of the trigeminal nerve—the ophthalmic nerve (V 1), the maxillary nerve (V 2) and the mandibular nerve (V 3)—converge on the trigeminal ganglion (also called the semilunar ganglion or gasserian ganglion), located within Meckel's cave and containing the cell bodies of incoming sensory-nerve fibers.
The procedure is also used experimentally to treat tinnitus and vertigo caused by vascular compression on the vestibulocochlear nerve. [2] As the goal of the Jannetta procedure is to relieve (vascular) pressure on the trigeminal nerve, it is a specific type of a nerve decompression surgery. [3]
The trigeminal ganglion contains cell bodies of the pseudo-unipolar sensory neurons of the trigeminal nerve which extend their axons both distally/peripherally into the three divisions of the trigeminal nerve on the one end, and proximally/centrally to the brainstem on the other end; the trigeminal root extends from the trigeminal ganglion to the ventrolateral aspect of the pons.
A nerve decompression is a neurosurgical procedure to relieve chronic, direct pressure on a nerve to treat nerve entrapment, a pain syndrome characterized by severe chronic pain and muscle weakness. In this way a nerve decompression targets the underlying pathophysiology of the syndrome and is considered a first-line surgical treatment option ...
In neuroscience and neurology, a trigger zone is an area in the body, or of a cell, in which a specific type of stimulation triggers a specific type of response.. The term was first used in this context around 1914 by Hugh T. Patrick, who was writing about trigeminal neuralgia, a condition in which pain fibers in the trigeminal nerve become hypersensitive. [1]
The dorsal trigeminal tract (also dorsal trigeminothalamic tract, or posterior trigeminothalamic tract) are uncrossed second-order sensory fibers conveying fine (discriminative) touch and pressure information from the dorsomedial division of principal sensory nucleus of trigeminal nerve to the ipsilateral ventral posteromedial nucleus of thalamus.
The trigeminal nerve is a paired cranial nerve that has three major branches: the ophthalmic nerve (V 1), the maxillary nerve (V 2), and the mandibular nerve (V 3). One, two, or all three branches of the nerve may be affected. Trigeminal neuralgia most commonly involves the middle branch (the maxillary nerve or V 2) and lower branch (mandibular ...