Microvascular Decompression Surgery

This book provides an essential update on microvascular decompression (MVD) surgery, which has been widely accepted as an effective remedy for cranial nerve hyperexcitability disorders such as hemifacial spasm, trigeminal neuralgia, glossopharyngeal neuralgia, etc. The authors describe in detail those steps of the process that need the most attention in order to achieve an excellent postoperative outcome, including positioning, craniectomy, approach and identification of the culprit, etc. Though it primarily focuses on surgical principles and technical nuances, the book also addresses the intraoperative electrophysiologic monitoring and pathogeneses of hemifacial spasm and trigeminal neuralgia. {OCLCbr#A0} Shi-Ting Li, MD, PhD and Jun Zhong, MD, PhD, are from the department of neurosurgery, XinHua Hospital, Shanghai Jiao Tong University School of Medicine, China. Raymond F. Sekula, Jr., MD, MBA, FACS, is from University of Pittsburgh School of Medicine, UPMC Presbyterian Hospital, Pittsburgh, PA, USA Front Matter....Pages i-viii The History of Microvascular Decompression Surgery....Pages 1-7 Microsurgical Anatomy for Microvascular Decompression Surgery....Pages 9-33 Pathogenesis and Treatment of Hemifacial Spasm....Pages 35-49 A Novel Hypothesis on the Mechanism of Hemifacial Spasm....Pages 51-58 Pathogenesis of Trigeminal Neuralgia....Pages 59-66 Surgical Technique of Microvascular Decompression Surgery for Trigeminal Neuralgia....Pages 67-77 Surgical Techniques of Microvascular Decompression for Hemifacial Spasm....Pages 79-93 Microvascular Decompression Surgery for Disabling Positional Vertigo and Tinnitus....Pages 95-101 Microvascular Decompression Surgery for Glossopharyngeal Neuralgia....Pages 103-122 MVD for Neurogenic Hypertension: A Review....Pages 123-135 Treatment of Vagoglossopharyngeal Neuralgia with MVD and Other Neurosurgical Procedures....Pages 137-150 Intraoperative Monitoring....Pages 151-170 Outcome Evaluation and Postoperative Management....Pages 171-176 Reoperation for Hemifacial Spasm....Pages 177-185 Perioperative Adverse Events of Microvascular Decompression: Review and a Personal Experience of 2263 Cases....Pages 187-193