Microvascular decompression (MVD) for trigeminal neuralgia

In this key lecture, Professor JM Tew, MD, demonstrates how to perform a microvascular decompression for trigeminal neuralgia.

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Microvascular decompression (MVD) for trigeminal neuralgia

Authors

Abstract

In this key lecture, Professor JM Tew, MD, demonstrates how to perform a microvascular decompression for trigeminal neuralgia.

Media type

Lecture

Duration

30'52''

Publication

2011-03

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E-publication

WeBSurg.com, Mar 2011;11(03).
URL: http://www.websurg.com/doi-lt03entew001.htm

Microvascular decompression (MVD) for trigeminal neuralgia

1. Microvascular decompression 01'59''

2. Trigeminal neuralgia treatments 02'43''

3. Overview MVD steps 05'20''

4. Step 1: patient position 05'35''

5. Step 2: skin incision 07'27''

6. Why a curved incision? 08'38''

7. Step 3: craniectomy 09'10''

8. Step 4: open dura and arachnoid 10'21''

9. Instruments 10'51''

10. Step 4: open dura and locate nerve 12'51''

11. Step 5: section petrosal vein 14'10''

12. Step 6: dissect vessel from nerve 16'06''

13. Case 2: complex 20'17''

14. Step 8: dural closure 23'16''

15. Step 9: closure 23'35''

16. MVD complications 24'01''

17. MVD long-term outcome 25'28''

18. Pain recurrence 25'53''

19. Choosing treatment 26'36''

20. Patient selection 26'50''

21. Total sensory rhizotomy 28'01''

22. Total sensory rhizotomy results 29'17''

23. Conclusions 29'55''