Acta neurochirurgica · 2020
How I do it: endoscopic microvascular decompression for glossopharyngeal neuralgia.
СтатьяНазвание и аннотация: Перевод в очереди
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Komatsu Fuminari, Kishore Kislay, Sengupta Robin
Аннотация
BACKGROUND: Microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) is associated with high complication and incomplete cure rates because of its poor ability to visualize neurovascular conflicts.
METHOD: Fully endoscopic MVD for GPN was carried out through a retrosigmoid keyhole approach. Neurovascular conflicts were clearly demonstrated with a loop of the posterior inferior cerebellar artery (PICA) under a 30° endoscopic view, and no significant cerebellar retraction was observed. The loop of the PICA was safely decompressed and the perforators were preserved while offering an excellent operative view.
CONCLUSION: Endoscopic MVD is a reliable and minimally invasive method for GPN.
METHOD: Fully endoscopic MVD for GPN was carried out through a retrosigmoid keyhole approach. Neurovascular conflicts were clearly demonstrated with a loop of the posterior inferior cerebellar artery (PICA) under a 30° endoscopic view, and no significant cerebellar retraction was observed. The loop of the PICA was safely decompressed and the perforators were preserved while offering an excellent operative view.
CONCLUSION: Endoscopic MVD is a reliable and minimally invasive method for GPN.