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Microvascular Decompression for Glossopharyngeal Neuralgia Yutaka TAKUSAGAWA 1 1Department of Neurosurgery, Kosei Chuo Hospital Keyword: 舌咽神経 , 迷走神経 , 後下小脳動脈 , 血管転位 , フィブリングルー , glossopharyngeal nerve , vagal nerve , posterior inferior cerebellar artery , transposition , fibrin glue pp.133-138
Published Date 2024/1/10
DOI https://doi.org/10.11477/mf.1436204889
  • Abstract
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 Glossopharyngeal neuralgia is an extremely rare disease. Therefore, average neurosurgeons have limited number of opportunities for surgical experience of glossopharyngeal neuralgia.

 The authors mentioned several important surgical steps to achieve successful surgery.

 The initial cerebellar retraction should be modest to avoid unexpected rupture of bridging veins.

 The arachnoid between the lower cranial nerves and cerebellum should be fully dissected until the root entry/exit zones of all lower cranial nerves are easily observed.

 The offending arteries(especially the posterior inferior cerebellar artery)are tethered using arachnoid filaments.

 Complete dissection of the tethering arachnoid filaments is necessary for the offending artery to be mobilized and glued to the dural surface.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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