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Updated: Nov 20, 2025

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
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Facial nerve inflammation after trigeminal microvascular decompression.

Louise Makarem Oliveira1, Carlos Michel Albuquerque Peres2, Eberval Gadelha Figueiredo3

  • 1Federal University of Amazonas, Manaus, Brazil.

British Journal of Neurosurgery
|January 25, 2021
PubMed
Summary

A rare complication, peripheral facial palsy, can occur after microvascular decompression surgery for trigeminal neuralgia. This article discusses this specific post-operative outcome.

Keywords:
facial nervemicrovascular decompressionnerve inflammationperipheral facial palsytrigeminal neuralgia

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Area of Science:

  • Neurosurgery
  • Neurology

Background:

  • Trigeminal neuralgia is a chronic pain condition.
  • Microvascular decompression is a surgical treatment for trigeminal neuralgia.
  • Complications can arise from neurosurgical procedures.

Purpose of the Study:

  • To discuss peripheral facial palsy as a rare complication of microvascular decompression for trigeminal neuralgia.

Main Methods:

  • Literature review on post-microvascular decompression complications.
  • Analysis of case studies reporting peripheral facial palsy.

Main Results:

  • Peripheral facial palsy is an infrequent but documented complication.
  • The incidence and potential causes are explored.

Conclusions:

  • Awareness of peripheral facial palsy is important for surgeons and patients.
  • Further research may elucidate preventative or management strategies.