A clinical analysis on microvascular decompression surgery in a series of 3000 cases
Clinical Neurology and Neurosurgery,
Zhong J et al. – A prompt recognition of the conflict site leads to a successful microvascular decompression (MVD). To facilitate the approach, the craniotomy should be lateral enough to the sigmoid sinus. The whole intracranial nerve root should be examined and veins or arterioles should not be ignored. For trigeminal neuralgia (TN), all the vessels contacting the nerve should be detached. For hemifacial spasm (HFS), the exposure should be medial enough to the pontomedullary sulcus.