Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bilateral trigeminal neuralgia

J M Velasco-Siles, G E Ouaknine, G Mohr

    Surgical Neurology
    |August 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Mid-term results of lateral unicondylar mobile bearing knee arthroplasty: a multicentre study of 363 cases.

    The bone & joint journal·2018
    Same author

    [Is kinesiophobia associated with changes in left/right judgment and emotion recognition during a persisting pain condition? : A cross-sectional study].

    Schmerz (Berlin, Germany)·2017
    Same author

    [Emotion Recognition in Patients with Peripheral Facial Paralysis - A Pilot Study].

    Die Rehabilitation·2016
    Same author

    Update on monitoring the spread of KPC carbapenemase-producing Klebsiella spp. in South Brazil.

    The Journal of hospital infection·2015
    Same author

    People with chronic facial pain perform worse than controls at a facial emotion recognition task, but it is not all about the emotion.

    Journal of oral rehabilitation·2014
    Same author

    [Revision after unicompartmental knee arthroplasty].

    Der Orthopade·2014
    Same journal

    Commentary.

    Surgical neurology·2010
    Same journal

    Implant design may influence delayed heterotopic ossification after total disk arthroplasty in lumbar spine.

    Surgical neurology·2010
    Same journal

    Addendum to "In this issue...".

    Surgical neurology·2010
    Same journal

    Anterior interosseous syndrome vs flexor pollicis longus tendon rupture: electrodiagnosis or sonography?

    Surgical neurology·2010
    Same journal

    Transcranial/transnasal approach for nonpituitary sellar lesions.

    Surgical neurology·2010
    Same journal

    What will you do with the rest of your life?

    Surgical neurology·2010
    See all related articles

    This case study presents a successful trigeminal nerve decompression for left-sided trigeminal neuralgia in a patient with prior contralateral surgery. The procedure relieved pain while preserving facial sensation, offering hope for bilateral cases.

    Area of Science:

    • Neurosurgery
    • Neurology
    • Pain Management

    Background:

    • Trigeminal neuralgia (TN) is a debilitating neuropathic pain condition.
    • Previous retrogasserian neurectomy for right TN resulted in contralateral pain development.
    • Patient refused further ablative surgery due to fear of bilateral facial anesthesia.

    Observation:

    • A 56-year-old woman presented with new-onset left trigeminal neuralgia.
    • She had a history of right-sided tic douloureux treated with neurectomy, causing ipsilateral facial anesthesia.

    Findings:

    • Microvascular decompression via suboccipital craniectomy was performed for the left TN.
    • The decompression addressed a thickened arachnoid membrane and bridging vein compressing the trigeminal nerve root.
    • Post-operatively, the patient experienced complete pain relief on the left side with preserved facial sensation.

    Related Experiment Videos

    Implications:

    • Microvascular decompression is a viable option for managing bilateral trigeminal neuralgia, even after previous ablative procedures.
    • Preservation of sensation is achievable with decompression, contrasting with the sensory loss from neurectomy.
    • This case highlights the importance of considering nerve decompression for recalcitrant TN, especially in bilateral presentations.