Microvascular transposition using Teflon sling technique

Mitchell W Couldwell,Vance Mortimer, As,William T Couldwell

doi:10.3171/2020.6.focvid2040

Abstract

Microvascular decompression is a well-established technique used to relieve abnormal vascular compression of cranial nerves and associated pain. Here the authors describe three cases in which a sling technique was used in the treatment of cranial nerve pain syndromes: trigeminal neuralgia with predominant V2 distribution, hemifacial spasm, and geniculate neuralgia and right-sided ear pain. In each case, the artery was mobilized from the nerve and tethered with a sling. All three patients had reduction of symptoms within 6 weeks.The video can be found here: https://youtu.be/iM7gukvPz6E

Highlights

Microvascular decompression is a well-established technique used to relieve abnormal vascular compression of cranial nerves and associated pain
You can see there is a conflict of a vessel at the root entry zone of the fifth nerve on the left side.[1]
She is placed in the lateral position

Summary

Introduction

Microvascular decompression is a well-established technique used to relieve abnormal vascular compression of cranial nerves and associated pain. 0:28 Microvascular Decompression for Treatment of Trigeminal Neuralgia. You can see there is a conflict of a vessel at the root entry zone of the fifth nerve on the left side.[1] She is placed in the lateral position.

Results

Conclusion