Prsentation PowerPoint

1
Vascular decompression is the indication par
excellence for endoscopic surgery of the
cerebellopontine angle .
Hemifacial spasm Trigeminal neuralgia Glossophar
yngeal neuralgia Tinnitus Disabling positional
vertigo
2
TRIGEMINAL NEURALGIA
sca
aica
V
V
VIII
MRI T2 CISS sequence
Endoscope 4mm, 30
3
Superior cerebellar artery
4
(No Transcript)
5
Trigeminal neuralgia
microscope
endoscope
Glossopharyngeal neuralgia
6
Trigeminal Neuralgia N141(86F/55M)
SUCCESS RATE 85
21 REVISION SURGERY ON 15 CASES

• 6 cases recurrence due to fibrous tissue
  inducing new neurovascular conflict 4 success,
  2 failures
• 3 cases teflon displacement 3 successes
• 2 cases aberrant vein 1 success, 1 failure
• 4 cases no explanation, 4 partial rhizotomy

Success rate 92