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Microvascular decompression (MVD), also known as the Jannetta procedure, [1] is a neurosurgical procedure used to treat trigeminal neuralgia (along with other cranial nerve neuralgias), a pain syndrome characterized by severe episodes of intense facial pain, and hemifacial spasm.
The trigeminovascular system (TVS) refers to neurons and their axonal projections within the trigeminal nerve that project to the cranial meninges and meningeal blood vessels [1] [2] residing on the brain's surface. [3]
The most significant impact of magnetic resonance neurography is on the evaluation of the large proximal nerve elements such as the brachial plexus (the nerves between the cervical spine and the underarm that innervate shoulder, arm and hand), [9] the lumbosacral plexus (nerves between the lumbosacral spine and legs), the sciatic nerve in the pelvis, [10] as well as other nerves such as the ...
It compresses the trigeminal nerve (CN V), causing pain on the patient's face (the distribution of the nerve). This may be treated with vascular microsurgery to decompress the trigeminal nerve. [2] At autopsy, 50% of people without trigeminal neuralgia will also be noted to have vascular compression of the nerve. [3]
In neuroscience, tractography is a 3D modeling technique used to visually represent nerve tracts using data collected by diffusion MRI. [1] It uses special techniques of magnetic resonance imaging (MRI) and computer-based diffusion MRI. The results are presented in two- and three-dimensional images called tractograms. [2]
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.
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 ...
Inflammatory change of the orbit on cross sectional imaging in the absence of cranial nerve palsy is described by the more benign and general nomenclature of orbital pseudotumor. [ citation needed ] Sometimes a biopsy may need to be obtained to confirm the diagnosis, as it is useful in ruling out a neoplasm . [ 3 ]