Keisuke Onoda*, Tomoyuki Naito, Takahiro Kumono, Kato Junpei, Tomihiro Wakamiya, Yuhei Michiwaki, Tatsuya Tanaka, Kimihiro Nakahara, Takashi Agari, Kazuaki Shimoji, Eiichi Suehiro, Hiroshi Itokawa and Akira Matsuno

Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Chiba, Japan

*Corresponding Author: Keisuke Onoda, Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Chiba, Japan.

Received: May 24, 2024; Published: July 05, 2024

Abstract

Introduction: Trigeminal neuralgia with the vertebrobasilar artery as the responsible vessel is relatively rare. Trigeminal neuralgia involving the vertebrobasilar artery is a difficult surgical procedure with a high complication rate. In this report, we describe our recent surgical experience of successfully managing trigeminal neuralgia involving the vertebrobasilar artery.

Materials and Methods: Eight cases (four men and four women) have been reported in the past 5 years. The mean patient age was 61 years. The preoperative Barrow Neurological Institute grade was Ⅳ in three cases and V in five cases. The mean illness duration was 2.5 years. The surgery was performed using the conventional retrosigmoid approach with continuous monitoring of the auditory brainstem response.　

Results: The interposition was used in all cases. Surgical outcomes were excellent, with six cases of Barrow Neurological Institute grade I and two cases of grade II. No surgical complications occurred. The average follow-up duration was 2.5 years; no cases of recurrence were observed.

Conclusion: Surgery for trigeminal neuralgia with the vertebrobasilar artery as the responsible vessel is challenging but can help achieve highly favorable results and should be aggressively considered. Trigeminal neuralgia with the vertebrobasilar artery as the responsible vessel can be successfully treated using the interposition method.

 Keywords: Trigeminal Neuralgia; Microvascular Decompression; Vertebrobasilar Artery; Interposition; Retrosigmoid Approach

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Citation

Citation: Keisuke Onoda., et al. “A Case of Localized Amyloid Angiopathy Following Aneurysmal Subarachnoid Hemorrhage - Strong Evidence of Dysfunction of the Glymphatic System”. Acta Scientific Neurology 7.8 (2024): 10-14.

Copyright

Copyright: © 2024 Keisuke Onoda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.