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Updated: Aug 15, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
[Neurovascular compression as a reason for neurogenic hypertension]
J Gamrot1, P Bazowski, T Zawadzki
1I Katedry i Kliniki Neurochirurgii, Slaskiej Akademii Medycznej w Katowicach.
Abstract:
30 years ago Janetta proposed neurovascular compression as an etiological factor of trigeminal neuralgia. Neuroanatomical, neurophysiological studies and observations during neurosurgical operations seem to confirm Janetta's suggestion. The conception of neurovascular compression is accepted also as an etiological factor in hemifacial spasm. In literature a neurovascular compression is suspected as an etiological factor in many diseases of unknown etiology. The results of neurovascular decompression performed as initial treatment of these diseases were presented. The methods of contemporary diagnostics of neurovascular compression syndromes and difficulties with correct diagnosis were described. MRI and neurophysiological examinations were pointed out as the most useful in the evaluation of neurovascular compression syndromes.
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