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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]
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.
Immediately adjacent to the sensory root, a smaller motor root emerges from the pons [3] slightly rostrally and medially to the sensory root. [4] Motor fibers pass through the trigeminal ganglion without synapsing on their way to peripheral muscles, their cell bodies being located in the nucleus of the fifth nerve, deep within the pons.
The Redlich–Obersteiner's zone, also known as the root entry zone, is a boundary between the central nervous system (CNS) and the peripheral nervous system (PNS). [1] The Redlich–Obersteiner's zone is located at the point of entry of either between cranial nerves and the brain or spinal nerves and the spinal cord. This narrow zone is ...
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 ...
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 ...
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.
Pontine cranial nerve nuclei. Chief or pontine nucleus of the trigeminal nerve sensory nucleus (V) Motor nucleus for the trigeminal nerve (V) Abducens nucleus (VI) Facial nerve nucleus (VII) Vestibulocochlear nuclei (vestibular nuclei and cochlear nuclei) (VIII) Superior salivatory nucleus; Pontine tegmentum. Pontine micturition center ...