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Updated: Aug 16, 2025

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Case report: Teflon granuloma following microvascular decompression manifesting as light-triggered trigeminal
Mustaqim Prasetya1, Peter Adidharma1, Takuro Inoue2
1Department of Neurosurgery, National Brain Center Hospital Prof. Dr. Dr. Mahar Mardjono Jakarta, East Jakarta, Indonesia.
Abstract:
Trigeminal Neuralgia is commonly triggered by stimuli in the area of the trigeminal nerve innervation. We report an exceptionally rare case of a 61-year-old woman who complained of recurrent trigeminal neuralgia, which sole trigger was seeing a bright light. Teflon felt that was placed on the nerve root in the initial surgery was suspected of causing this rare type of trigeminal neuralgia. A reflex circuit linking luminance to trigeminal nerve activity may be implicated in activating a trigeminal nociceptive pathway by a bright light trigger.

