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Updated: Aug 28, 2025
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Principles and techniques of migraine surgery
1Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy. edoardo.raposio@unige.it.
Objective:
The idea to treat migraine patients with a surgical procedure is relatively recent. The aim of this paper was to describe the surgical techniques and our 11-year experience in migraine surgery.
Patients And Methods:
From June 2011 till December 2021, we have performed MH decompression surgery over 527 patients with either frontal (90 pts), occipital (232 pts) or temporal (205 pts) migraine trigger sites.
Results:
The surgical procedure elicited a positive response in: (a) occipital trigger site, 95% of patients (86% complete recovery); (b) frontal trigger site, 87% of patients (32% complete recovery); (c) temporal trigger site, 88% of patients (50% complete recovery).
Conclusions:
The described techniques allowed us to obtain a high rate of positive results with a low percentage of minor complications.
