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VASCULAR COMPRESSION OF LOWER CRANIAL NERVES: OBSERVATIONS USING MICROSURGERY, WITH PARTICULAR REFERENCE TO TRIGEMINAL NEURALGIA
Author(s) -
Petty Peter G.,
Southby Robert
Publication year - 1977
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1977.tb04296.x
Subject(s) - medicine , trigeminal neuralgia , microsurgery , cranial nerves , trigeminal nerve , anatomy , surgery
A new finding made possible by the use of the operating microscope in neurosurgery is discussed. Nineteen patients with trigeminal neuralgia have been explored, and in 14 of these vascular compression of the fifth nerve at its entry zone to the pons has been found. Relief of this vascular compression has caused cessation of pain in all these patients. In addition, one patient with hemifacial spasm, and one patient with glossopharyngeal neuralgia, are reported; each of these also had vascular compression of the appropriate nerve causing the symptoms.