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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 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.
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.
His dozens of published journal articles [8] explored research in the treatment of brain tumors, cerebral aneurysms, [9] image-guided surgery and trigeminal neuralgia. In 1986 Tew became the first U.S. surgeon to test laser surgery, [ 10 ] developed in Europe for the treatment of some brain tumors, for the U.S. Food and Drug Administration.
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.
Active and inactive μ-opioid receptors [1] Image of visual pain. Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging.
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