Trigeminal Neuralgia Associated with the Specific Bridging Pattern of Transverse Pontine Vein: Diagnostic Value of Three-Dimensional Multifusion Volumetric Imaging

Oishi, Makoto; Fukuda, Masafumi; Noto, Yoshiyuki; Kawaguchi, Tadashi; Hiraishi, Tetsuya; Fujii, Yukihiko

doi:10.1159/000326778

Cited by 19 publications

(13 citation statements)

References 62 publications

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“…In microvascular decompression for trigeminal neuralgia, these tributaries not only block access to the nerve but also may be the offending compressing vessel. 13,[26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] The transverse pontine veins have been found to be the most frequently compressing veins in trigeminal neuralgia. The veins of the middle cerebellar peduncle, cerebellopontine fissure, and the pontotrigeminal vein have also been reported to be the compressing vein.…”

Section: Superior Petrosal Veinsmentioning

confidence: 99%

“…The veins of the middle cerebellar peduncle, cerebellopontine fissure, and the pontotrigeminal vein have also been reported to be the compressing vein. 13,26,[30][31][32] It is best to try to preserve the superior petrosal veins before electing to sacrifice them to gain surgical access. In the retrosigmoid approach, the semiopaque outer arachnoidal membrane and the arachnoid trabeculae often obscure the superior petrosal veins and their tributaries during the early stages of the exposure.…”

Section: Superior Petrosal Veinsmentioning

confidence: 99%

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Classification of the Superior Petrosal Veins and Sinus Based on Drainage Pattern

Matsushima

Kuga

et al. 2014

Operative Neurosurgery

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The superior petrosal veins and their largest tributaries, especially the vein of the cerebellopontine fissure, should be preserved if possible. Obliteration of superior petrosal sinuses in which either the lateral or medial portion is absent may result in loss of the drainage pathway of the superior petrosal veins. Preoperative assessment of the superior petrosal sinus should be considered before transpetrosal surgery in which the superior petrosal sinus may be obliterated.

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Section: Superior Petrosal Veinsmentioning

confidence: 99%

Section: Superior Petrosal Veinsmentioning

confidence: 99%

Classification of the Superior Petrosal Veins and Sinus Based on Drainage Pattern

Matsushima

Kuga

et al. 2014

Operative Neurosurgery

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“…18,19,25 Observation of 3D multifusion volumetric imaging improved our comprehension of the complicated anatomical relationships among the tumor, important vessels, the brain and CNs, and the skull in individual patients, but this analysis permitted only surveying 3D data from the outside without any interaction. It is obvious that inspection of 3D data in stereo and with a sense of hand-eye coordination can give surgeons further confidence in comprehending surgical anatomies.…”

Section: Discussionmentioning

confidence: 99%

“…The original attempts to modify these models and to dissect them using surgical instruments have been reported in detail, especially for surgical simulation for skull base tumors. 13,14 We previously reported the value of 3D imaging techniques in neurosurgical planning, [16][17][18][19]25 and we recently established a novel surgical simulation style called interactive virtual simulation, 15 characterized by creating a patient-specific high-quality 3D CG data set from radiological data and then performing surgical simulation using unique CAD software with manipulation of a haptic device. In surgery for skull base or deep tumors, we performed IVS to create the best scenario for tumor removal and then used a 3D color printer to produce color plaster models with these surgical perspectives after IVS.…”

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confidence: 99%

Interactive presurgical simulation applying advanced 3D imaging and modeling techniques for skull base and deep tumors

Oishi

Fukuda

Yajima

et al. 2013

JNS

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S urgical removal of tumors located in the skull base or deep intracranial regions requires a high order of anatomical knowledge that can be obtained only through a large number of surgical experiences and has therefore been recognized as a challenging category in the neurosurgical field. Object. In this paper, the authors' goal was to report their novel presurgical simulation method applying interactive virtual simulation (IVS) using 3D computer graphics (CG) data and microscopic observation of color-printed plaster models based on these CG data in surgery for skull base and deep tumors.Methods. For 25 operations in 23 patients with skull base or deep intracranial tumors (meningiomas, schwannomas, epidermoid tumors, chordomas, and others), the authors carried out presurgical simulation based on 3D CG data created by image analysis for radiological data. Interactive virtual simulation was performed by modifying the 3D CG data to imitate various surgical procedures, such as bone drilling, brain retraction, and tumor removal, with manipulation of a haptic device. The authors also produced color-printed plaster models of modified 3D CG data by a selective laser sintering method and observed them under the operative microscope.Results. In all patients, IVS provided detailed and realistic surgical perspectives of sufficient quality, thereby allowing surgeons to determine an appropriate and feasible surgical approach. Surgeons agreed that in 44% of the 25 operations IVS showed high utility (as indicated by a rating of "prominent") in comprehending 3D microsurgical anatomies for which reconstruction using only 2D images was complicated. Microscopic observation of color-printed plaster models in 12 patients provided further utility in confirming realistic surgical anatomies.Conclusions. The authors' presurgical simulation method applying advanced 3D imaging and modeling techniques provided a realistic environment for practicing microsurgical procedures virtually and enabled the authors to ascertain complex microsurgical anatomy, to determine the optimal surgical strategies, and also to efficiently educate neurosurgical trainees, especially during surgery for skull base and deep tumors. (http://thejns.org/doi/abs/10.3171/2013.3.JNS121109) keY WorDs • neurosurgery • presurgical simulation • skull base tumor • surgical anatomy • 3D imaging • oncology Abbreviations used in this paper: CAD = computer-aided designing; CG = computer graphics; CN = cranial nerve; CPA = cerebellopontine angle; CTA = CT angiography; DSA = digital subtraction angiography; IAC = internal auditory canal; IVS = interactive virtual simulation; MRA = MR angiography.

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“…так и при других оперативных вмешательствах. Ряд авторов [10][11][12][13][14] приводят случаи осложнений, развившихся после коагуляции и пересечения притоков ВКВ, в том числе при проведении васкулярной декомпрессии. К таковым относятся педункулярный зрительный галлюциноз (Лермита), послеоперационное снижение слуха, геморрагический инфаркт мозжечка и ствола мозга.…”

Section: рис 3 диссекция мостомозжечковой цистерны интраоперационнunclassified

Surgical management of venous compression causing trigeminal neuralgia

2017

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Venous compression is a rare cause of trigeminal neuralgia (TN). Vascular decompression of the trigeminal nerve root, as the only etiopathogenetic treatment of trigeminal neuralgia, is a well-known procedure that is extensively used at various neurosurgical clinics. As the number of interventions for TN increases, the absolute number of surgeries for eliminating venous compression of the trigeminal nerve also grows. Five hundred TN patients underwent surgery at the Neurosurgical Institute in the period from 2000 to 2015. The diagnosis was made based on the criteria of the International Classification of Headache Disorders, the 3rd edition, (ICHD-3) and the Burchiel classification. The study included 211 males and 289 females. The median age was 57 years. All patients had typical TN pain with a unilateral distribution. Two or more branches were affected in 90 patients; one branch was predominantly affected in 10 patients. The median disease duration was 16 months. The median visual analog scale (VAS) score was 8 (very severe persistent pain). In all cases, the patients underwent surgery using the retrosigmoid suboccipital approach. The median postoperative follow-up was 36 months. The aim of this work is to summarize the first experience of the Neurosurgical Institute in surgical treatment for venous compression of the Vth nerve root and suggest methods increasing the efficacy of vascular decompression in patients with this disease.

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Trigeminal Neuralgia Associated with the Specific Bridging Pattern of Transverse Pontine Vein: Diagnostic Value of Three-Dimensional Multifusion Volumetric Imaging

Cited by 19 publications

References 62 publications

Classification of the Superior Petrosal Veins and Sinus Based on Drainage Pattern

Classification of the Superior Petrosal Veins and Sinus Based on Drainage Pattern

Interactive presurgical simulation applying advanced 3D imaging and modeling techniques for skull base and deep tumors

Surgical management of venous compression causing trigeminal neuralgia

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