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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.
Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, trifacial neuralgia, or suicide disease, is a long-term pain disorder that affects the trigeminal nerve, [7] [1] the nerve responsible for sensation in the face and motor functions such as biting and chewing.
The pain is described as constant, burning, aching or severe. It can be a side effect of surgery involving any part of the trigeminal system, and occurs after 1–4% of peripheral surgery for trigeminal neuralgia. No effective medical therapy has yet been found. Several surgical techniques have been tried, with modest or mixed results.
For example, use of the operating microscope (surgery that uses this microscope is now known as microsurgery) was important to the development of the Jannetta procedure for trigeminal neuralgia. [54] Endoscopic surgery was an important advancement, as this allowed greatly expanded surgical access compared to open surgery. In particular ...
The trigeminal nerve.. ATN is usually attributed to inflammation or demyelination, with increased sensitivity of the trigeminal nerve.These effects are believed to be caused by infection, demyelinating diseases, or compression of the trigeminal nerve (by an impinging vein or artery, a tumor, dental trauma, accidents, or arteriovenous malformation) and are often confused with dental problems.
Persistent trigeminal artery has been identified as a rare cause of trigeminal neuralgia, with 2.2% prevalence of persistent trigeminal artery among trigeminal neuralgia patients. [8] Surgery to move the persistent trigeminal artery away from the trigeminal nerve has been successful in treating the trigeminal neuralgia in some cases. [9]
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The superior cerebellar artery is frequently the cause of trigeminal neuralgia. 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 ...
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