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Fully Endoscopic Far-lateral Supracerebellar Infratentorial Approach for Trigeminal Neuralgia: Illustrative Case Reports

Overview
Journal Chin Neurosurg J
Publisher Biomed Central
Specialty Neurology
Date 2024 Jan 3
PMID 38167418
Authors
Hong Yao
Wenlei Yang
Hao Tang
Yijun Cheng
Shaojian Lin
Zhe Bao Wu
Affiliations
Soon will be listed here.
Abstract

Background: Trigeminal neuralgia (TN) is a common cause of craniofacial pain. The retrosigmoid approach is usually used to treat TN, but no cases of endoscopic far-lateral supracerebellar infratentorial approach (EF-SCITA) were used to undergo operation for TN.

Case Presentation: Two patients were presented with severe facial pain and preliminary diagnosis was TN. Preoperative magnetic resonance imaging revealed that a superior cerebellar artery (SCA) compressed the trigeminal nerve in case 1, and a tumor located in the petrous apex extending into the Meckel's cave compressed the trigeminal nerve in case 2. Operations were achieved through the EF-SCITA. The pain was totally relieved with no postsurgical complications in both cases.

Conclusions: We present the first two case reports of EF-SCITA to relieve classical and secondary TN successfully. The EF-SCITA can be a promising approach for treating TN.

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