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Papers of the Week

2020 Jul 13

World Neurosurg

Internal Neurolysis with and without Microvascular Decompression for Trigeminal Neuralgia: Case Series.


Sabourin V, Mazza J, Garzon T, Head J, Ye D, Stefanelli A, Al-Saiegh F, Lavergne P, Evans J
World Neurosurg. 2020 Jul 13.
PMID: 32673802.


Microvascular decompression remains the first line surgical treatment for trigeminal neuralgia when an offending vessel can be identified causing neurovascular compression. However, there are patients without neurovascular compression who either develop trigeminal neuralgia or have recurrence after MVD. In addition, patients with venous and less severe arterial compression are known to have reduced efficacy after microvascular decompression. Internal neurolysis (IN), is a surgical technique of separating the fascicles of the trigeminal nerve and may be a good option for trigeminal neuralgia patients without vascular compression.