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Endoscopic-assisted microvascular decompression for trigeminal neuralgia secondary to vertebrobasilar dolichoectasia: Case reports and literature review
118
Số 03 - Tập 11
https://doi.org/10.51199/vjsel.2021.3.4
https://doi.org/10.51199
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Endoscopic-assisted microvascular decompression for trigeminal neuralgia secondary to vertebrobasilar dolichoectasia: Case reports and literature review

H
Duong Dai Ha
Tác giả chính
A
Pham Hoang Anh
Đồng tác giả
T
Le Duc Tam
Đồng tác giả
H
Chu Thanh Hung
Đồng tác giả
D
Pham Tuan Dung
Đồng tác giả
H
En-Dong Van He
Đồng tác giả
Ngày đăng:13/05/2022
https://doi.org/10.51199/vjsel.2021.3.4

Abstract


Introduction:
Trigeminal neuralgia (TN) secondary to vertebrobasilar dolichoectasia (VBD) was a rare condition with limited cases reported in the medical literature. This paper reported two successful cases of endoscopic-assisted microvascular decompression (MVD) for TN secondary to VBD. Case presentation no. 1: A 53-year-old male with a history of myocardial infarction and heart failure was diagnosed of left trigeminal neuralgia V2 and V3 for three years. The pain did not respond to medical therapy with Tegretol at the dose of 800mg per day. Brain magnetic resonance imaging (MRI) revealed a neurovascular conflict between VBD and the left trigeminal nerve. The endoscopic-assisted MVD was indicated and we used keyhole retrosigmoid craniotomy. The shredded neurosurgical sponges were interposed between VBD and trigeminal nerve. The 0o and 30o rigid rod-lens endoscope was used to explore and confirm the complete decompression. Postoperatively, TN was disappeared entirely. At one-year postoperative, no facial pain and paraesthesia were found. Case presentation no. 2: A 71-year-old male with healthy history was diagnosed of right trigeminal neuralgia V2 for four years. The pain did not respond to medical therapy with Tegretol at the dose of 800mg per day. Brain MRI demonstrated a neurovascular conflict between VBD and the right trigeminal nerve. He was received endoscopic-assisted MVD via keyhole retrosigmoid craniotomy. After the operation, his facial pain disappeared permanently and he has paraesthesia at right upper lip. He was discharged after a week. At 6 months postoperative, no facial pain were found. Conclusion: Endoscope-assisted MVD allowed better visualization of REZ and neurovascular conflicts behind neural structures and least cerebellar retraction in management of trigeminal neuralgia secondary to VBD.

Keywords:
Trigeminal neuralgia, vertebrobasilar dolichoectasia, microvascular decompression, endoscope-assisted.

References

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Tác giả:
Vu Trung Truc
Vu Anh Duc
Tran Xuan Thach
Bui Mai Anh
Số 03 - Tập 11Ngày đăng: 13/05/2022

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https://doi.org/10.51199/vjsel.2021.3.10

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Tác giả:
Ngo Anh Phuong
Trinh Van Dong
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https://doi.org/10.51199/vjsel.2021.3.9

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Tác giả:
Ngo Van Hung
Số 03 - Tập 11Ngày đăng: 13/05/2022

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https://doi.org/10.51199/vjsel.2021.3.8

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Tác giả:
Bui Mai Anh
Vu Trung Truc
Tran Xuan Thach
Thai Thinh
Ngo Hai Son
Nguyen Hong Ha
Tong Xuan Thang
Số 03 - Tập 11Ngày đăng: 13/05/2022

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https://doi.org/10.51199/vjsel.2021.3.7

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Tác giả:
Hoang Thi Thanh Tam
Nguyen Huu Tu
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract Introduction: The analgesia/nociception index (ANI), a 0 –100 non-invasive index calculated from heart rate variability, reflects the analgesia/nociception balance during general anaesthesia. The aim of this study was to evaluate the relationship between ANI with Bispectral index (BIS), PRST score and VAS in adult patients undergoing general anaesthesia. Patients and Methods: A total of 60 patients of American Society Anesthesiologist(ASA) physical status I and II undergoing open abdominal surgery. All patients were monitored and anesthetized according to the protocol. Measurement and recording ANI, BIS, PRST, VAS at the time of study. Results: There was a relationship between ANI with...

https://doi.org/10.51199/vjsel.2021.3.6

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Tác giả:
Vu Trung Truc
Bui Mai Anh
Số 03 - Tập 11Ngày đăng: 13/05/2022

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https://doi.org/10.51199/vjsel.2021.3.5