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Dash'jan V.G.

GBOU VPO «MGMSU im. A.I. Evdokimova» Minzdrava Rossii, Moskva;
GBUZ «NII skoroj pomoschi im. N.V. Sklifosovskogo» Departamenta zdravoohranenija Moskvy, Moskva

Nikitin A.S.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva

Neurovascular conflicts of the posterior cranial fossa

Authors:

Dash'jan V.G., Nikitin A.S.

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To cite this article:

Dash'jan VG, Nikitin AS. Neurovascular conflicts of the posterior cranial fossa. S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(2):155‑162. (In Russ.)
https://doi.org/10.17116/jnevro201711721155-162

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References:

  1. Yousry I, Moriggl B, Schmid U, Naidich T, Yousry T. Trigeminal ganglion and its divisions: detailed anatomic MR imaging with contrast-enhanced 3D constructive interference in the steady state sequences. AJNR Am J Neuroradiol. 2005;26(5):1128-1135.
  2. Garcia M, Naraghi R, Zumbrunn T, Rösch J, Hastreiter P, Dörfler A. High-resolution 3D-constructive interference in steady-state MR imaging and 3D time-of-flight MR angiography in neurovascular compression: a comparison between 3T and 1.5T. AJNR Am J Neuroradiol. 2012;33(7):1251-1256. doi:10.3174/ajnr.A2974
  3. Tenser R. Trigeminal neuralgia: Mechanisms of treatment. Neurology. 1998;51:17-19. doi:10.1212/wnl.51.1.17
  4. McNatt S, Yu C, Giannotta S, Zee C, Apuzzo ML, Petrovich Z. Gamma knife radiosurgery for trigeminal neuralgia. Neurosurgery. 2005;56:1295-1301. doi:10.1227/01.neu.0000160073.02800.c7
  5. Young B, Shivazad A, Kryscio R, Clair W, Bush H. Long-term outcome of high-dose Gamma Knife surgery in treatment of trigeminal neuralgia. Clinical article. J Neurosurg. 2013;119:1166-1175. doi:10.3171/2013.1.JNS12875
  6. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous Controlled Radiofrequency Trigeminal Rhizotomy for the Treatment of Idiopathic Trigeminal Neuralgia: 25-year Experience with 1600 Patients. Neurosurgery. 2001;48(3):524-532. doi:10.1097/00006123-200103000-00013
  7. Xiaochuan H, Xiaoyun S, Junsheng L, Ning G, Wenshi G, Zhenxing Z. Percutaneous Microballoon Compression for Trigeminal Neuralgia Using Dyna-CT. Interventional Neuroradiology. 2013;19:359-364.
  8. Abdennebi B, Mahfouf L, Nedjahi T. Long-term results of percutaneous compression of the gasserian ganglion in trigeminal neuralgia (series of 200 patients). Stereotact Funct Neurosurg. 1997;68:190-195. doi:10.1159/000099922
  9. Brown J, Pilitsis J. Percutaneous balloon compression for the treatment of trigeminal neuralgia: results in 56 patients based on balloon compression pressure monitoring. Neurosurg Focus. 2005;18(5):10. doi:10.3171/foc.2005.18.5.11
  10. Lichtor T, Mullan J. A 10-year follow-up review of percutaneous microcompression of the trigeminal ganglion. J Neurosurg. 1990;72(1):49-54. doi:10.3171/jns.1990.72.1.0049
  11. Xu-Hui W, Chun Z, Guang-Jian S, Min-Hui X, Guang-Xin C, Yong-Wen Z, Lun-Shan X. Long-Term Outcomes of Percutaneous Retrogasserian Glycerol Rhizotomy in 3370 Patients with Trigeminal Neuralgia. Turkish Neurosurgery. 2011;21(1):48-52. doi:10.5137/1019-5149.jtn.3550-10.1
  12. Kondziolka D, Lunsford L. Percutaneous retrogasserian glycerol rhizotomy for trigeminal neuralgia: technique and expectations. Neurosurg Focus. 2005;18(5):7. doi:10.3171/foc.2005.18.5.8
  13. Grigoryan AYu, Sitnikov AR. Transposition of cerebellar arteries in cranial nerves vascular compression: non-contacting technique of neurovascular decompression. Russian Neurosurgical Journal. 2014;6(3):20-30. (In Russ.).
  14. Sindou M, Leston J, Decullier E, Chapuis F. Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg. 2007;107:1144-1153. doi:10.3171/jns-07/12/1144
  15. Barker F, Jannetta P, Bissonette D, Larkins M, Jho H. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996;334(17):1077-1083. doi:10.1056/nejm199604253341701
  16. Ashkan K, Marsh H. Microvascular decompression for trigeminal neuralgia in the elderly: A review of the safety and efficacy. Neurosurgery. 2004;55:840-848. doi:10.1227/01.neu.0000137660.06337.c5
  17. Kalkanis S, Eskandar E, Carter B, Barker F. Microvascular decompression surgery in the United States, 1996-2000: Mortality rates, morbidity rates, and the effects of hospital and surgeon volumes. Neurosurgery. 2003;52:1251-1261. doi:10.1227/01.neu.0000065129.25359.ee
  18. Salama H, Ben-Khayal H, Salam M, El-Mitwalli A. Zaher A, EzzEldin A, Badr H, Vorkapic P. Outcome of medical and surgical management in intractable idiopathic trigeminal neuralgia. Ann Indian Acad Neurol. 2009;12(3):173-178. doi:10.4103/0972-2327.56317
  19. Khan S, Khan B, Khan A, Khan E, Mehmood S, Muhammad G, Hussain I, Khan K, Bhatti S. Microvascular decompression for trigeminal neuralgia. J Ayub Med Coll Abbottabad. 2015;27(3):539-542.
  20. Balyazin VA, Balyazina EV. The methods of reducing complications and recurrences after microvascular decompression in patients with trigeminal neuralgia. Zh Vopr Neirokhir Im N.N. Burdenko. 2003;2:6-9. (In Russ.).
  21. Leal P, Barbier C, Hermier M, Souza M, Cristino-Filho G, Sindou M. Atrophic changes in the trigeminal nerves of patients with trigeminal neuralgia due to neurovascular compression and their association with the severity of compression and clinical outcomes. J Neurosurg. 2014;120:1484-1495. doi:10.3171/2014.2.jns131288
  22. Sekula R, Frederickson A, Jannetta P, Bhatia S, Quigley M. Microvascular decompression after failed Gamma Knife surgery for trigeminal neuralgia: a safe and effective rescue therapy? J Neurosurg. 2010;113(1):45-52. doi:10.3171/2010.1.jns091386
  23. Bederson J, Wilson C. Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg. 1989;71(3):359-367. doi:10.3171/jns.1989.71.3.0359
  24. Young J, Wilkins R. Partial sensory trigeminal rhizotomy at the pons for trigeminal neuralgia. J Neurosurg. 1993;79(5):680-687. doi:10.3171/jns.1993.79.5.0680
  25. Zhang L, Zhang Y, Li C, Zhu S. Surgical Treatment of Primary Trigeminal Neuralgia: Comparison of the Effectiveness Between MVD and MVD+PSR in a Series of 210 Patients. Turkish Neurosurgery. 2012;22(1):32-38. doi:10.5137/1019-5149.jtn.4447-11.2
  26. Tan N, Chan L, Tan E. Hemifacial spasm and involuntary facial movements. Q J Med. 2002;95:493-500. doi:10.1093/qjmed/95.8.493
  27. Kong D, Park K. Hemifacial Spasm: A Neurosurgical Perspective. J Korean Neurosurg Soc. 2007;42(5):355-362. doi:10.3340/jkns.2007.42.5.355
  28. Pawlowski M, Gess B, Evers S. The Babinski-2 sign in hemifacial spasm. Mov Disord. 2013;28(9):1298-1300. doi:10.1002/mds.25472
  29. Younes W, Capelle H, Krausss J. Microvascular decompression of the anterior inferior cerebellar artery for intermediate nerve neuralgia. Stereotact Funct Neurosurg. 2010;88:193-195. doi:10.1159/000313873
  30. Chen Y, Song Z, Wan Y, Lin W, Hu X, Wang Y, Imai H. Intermediate nerve neuralgia can be diagnosed and cured by microvascular decompression. J Craniofac Surg. 2014;25(4):1187-1189. doi:10.1097/scs.0000000000000837
  31. Gálvez-Jiménez N, Hanson M, Desai M. Unusual causes of hemifacial spasm. Semin Neurol. 2001;21(1):75-83. doi:10.1055/s-2001-13122
  32. Shulev YuA, Gordienko KS, Trashin AV. Long-term results of microvascular decompression in treatment of hemifacial spasm. Zh Vopr Neirokhir Im N.N.Burdenko. 2010;3:42-47. (In Russ.).
  33. Chung S, Chang J, Kim S, Chang J, Park Y, Kim D. Microvascular decompression of the facial nerve for the treatment of hemifacial spasm: preoperative magnetic resonance imaging related to clinical outcomes. Acta Neurochir (Wien). 2000;142(8):901-906. doi:10.1007/s007010070076
  34. Ishimori T, Nakano S, Kagawa M, Yokoe K, Togami T, Asakura H, Kusuhara T, Ohkawa M, Nagao S, Yamashita Y, Sugiura S. Virtual endoscopic images by 3D FASE cisternography for neurovascular compression. Magnetic Resonance in Medical Sciences. 2003;2(3):145-149. doi:10.2463/mrms.2.145
  35. Mazlout H, Kamouni H, Triki W, Kéfi S, Brour J, El Afrit M, Chéour M, Kraiem A. Safety and efficacy of botulinum toxin in hemifacial spasm. J Fr Ophtalmol. 2013;36(3):242-246. doi:10.1016/j.jfo.2012.01.011
  36. Bentivoglio A, Fasano A, Ialongo T, Soleti F, Lo Fermo S, Albanese A. Outcome predictors, efficacy and safety of Botox and Dysport in the long-term treatment of hemifacial spasm. Eur J Neurol. 2009;16(3):392-398. doi:10.1111/j.1468-1331.2008.02507.x
  37. Polo G, Sanz R, Izquierdo B, Sanz C., Ríos G, García Z., Rodríguez M., García-Luis D. Blepharospasm and hemifacial spasm: Long-term treatment with botulinum toxin. Neurologнa. 2013;28(3):131-136. doi:10.1016/j.nrleng.2012.03.016
  38. Fraioli M, Moschettoni L, Fraioli C, Strigari L. Treatment of idiopathic hemifacial spasm with radiosurgery or hypofractionated stereotactic radiotherapy: preliminary results Minim Invasive Neurosurg. 2010;53(1):34-36. doi:10.1055/s-0030-1247584
  39. Hatayama T, Kono T, Harada Y, Yamashita K, Utsunomiya T, Hayashi M, Nakajima H, Hatanaka R, Shimada D, Takemura A, Tabata H, Tobishima H. Indications and Timings of Re-operation for Residual or Recurrent Hemifacial Spasm after Microvascular Decompression: Personal Experience and Literature Review. Neurol Med Chir (Tokyo). 2015;55:663-668. doi:10.2176/nmc.ra.2014-0386
  40. McLaughlin M, Jannetta P, Clyde B, Subach B, Comey C, Resnick D. Microvascular decompression of cranial nerves: lessons learned after 4400 operations. J Neurosurg. 1999;90:1-8. doi:10.3171/jns.1999.90.1.0001
  41. Bigder M, Kaufmann A. Failed microvascular decompression surgery for hemifacial spasm due to persistent neurovascular compression: an analysis of reoperations. J Neurosurg. 2016;124(1):90-95. doi:10.3171/2015.1.jns142714
  42. Likhachev SA, Mar'enko IP, Antonenko AI. Vestibular paroxismia. Vestn Otorinolaringol. 2013;6:87-90. (In Russ.).
  43. Krjukov AI, Kunel'skaja NL, Garov EV, Mishhenko VV. The neurovascular conflict of the vestibulocochlear nerve. Etiology, diagnostics, the methods for the surgical and conservative treatment. Vestnik Otorinolaringologii. 2015;80(5):93-97. (In Russ.). doi:10.17116/otorino201580593-97
  44. Strupp M, Dieterich M, Brandt T. The treatment and natural course of peripheral and central vertigo. Dtsch Arztebl Int. 2013;110(29-30):505-515. doi:10.3238/arztebl.2013.0505
  45. Hüfner K, Barresi D, Glaser M, Linn J, Adrion C, Mansmann U, Brandt T, Strupp M. Vestibular paroxysmia: diagnostic features and medical treatment. Neurology. 2008;71(13):1006-1014. doi:10.1212/01.wnl.0000326594.91291.f8
  46. Mathiesen T, Brantberg K. Microvascular decompression for typewriter tinnitus-case report. Acta Neurochir (Wien). 2015;157(2):333-336. doi:10.1007/s00701-014-2324-1
  47. Moller M. Vascular compression of the eighth cranial nerve as a cause of vertigo. Keio J Med. 1991;40(3):146-150. doi:10.2302/kjm.40.146
  48. Wuertenberger C, Rosahl S. Vertigo and tinnitus caused by vascular compression of the vestibulocochlear nerve, not intracanalicular vestibular schwannoma: review and case presentation. Skull Base. 2009;19(6):417-424. doi:10.1055/s-0029-1220209
  49. Borghei-Razavi H, Darvish O, Schick U. Disabling vertigo and tinnitus caused by intrameatal compression of the anterior inferior cerebellar artery on the vestibulocochlear nerve: a case report, surgical considerations, and review of the literature. Journal of Neurological Surgery Reports. 2014;75(1):47-51. doi:10.1055/s-0033-1359299
  50. Møller M, Møller A, Jannetta P, Jho H. Vascular decompression surgery for severe tinnitus: selection criteria and results. Laryngoscope. 1993;103(4):421-427. doi:10.1002/lary.5541030410
  51. Yap L, Pothula V, Lesser T. Microvascular decompression of cochleovestibular nerve. Eur Arch Otorhinolaryngol. 2008;265(8):861-869. doi:10.1007/s00405-008-0647-3
  52. Dieleman J, Kerklaan J, Huygen F, Bouma P, Sturkenboom M. Incidence rates and treatment of neuropathic pain conditions in the general population. Pain. 2008;137(3):681-688. doi:10.1016/j.pain.2008.03.002
  53. Singh P, Kaur M, Trikha A. An uncommonly common: Glossopharyngeal neuralgia. Ann Indian Acad Neurol. 2013;18:1-8. doi:10.4103/0972-2327.107662
  54. Rushton J, Stevens J, Miller R. Glossopharyngeal (vagoglossopharyngeal) neuralgia: a study of 217 cases. Arch Neurol. 1981;38:201-205. doi:10.1001/archneur.1981.00510040027002
  55. Shul'ga IA, Zajcev NV, Zajceva VS. Variants of structure of stylohyoideus complex. Vestnik otorinolaringologii. 2006;(6):72-73. (In Russ.).
  56. Fukuda H, Ishikawa M, Yamazoe N. Glossopharyngeal neuralgia caused by adhesive arachnoid. Acta Neurochir (Wien). 2002;144(10):1057-1058. doi:10.1007/s00701-002-0991-9
  57. Gaul C, Hastreiter P, Duncker A, Naraghi R. Diagnosis and neurosurgical treatment of glossopharyngeal neuralgia: clinical findings and 3-D visualization of neurovascular compression in 19 consecutive patients. J Headache Pain. 2011;12(5):527-534. doi:10.1007/s10194-011-0349-x
  58. Kawashima M, Matsushima T, Inoue T, Mineta T, Masuoka J, Hirakawa N. Microvascular decompression for glossopharyngeal neuralgia through the transcondylar fossa (supracondylar transjugular tubercle) approach. Neurosurgery. 2010;66(6):275-280. doi:10.1227/01.NEU.0000369662.36524.CF
  59. Connor J, Bidiwala S. Effectiveness and safety of Gamma Knife radiosurgery for glossopharyngeal neuralgia. Proc (Bayl Univ Med Cent). 2013;26(3):262-264.
  60. Sampson J, Grossi P, Asaoka K, Fukushima T. Microvascular decompression for glossopharyngeal neuralgia: long-term effectiveness and complication avoidance Neurosurgery. 2004;54(4):884-889. doi:10.1227/01.neu.0000114142.98655.cc
  61. Ferroli P, Fioravanti A, Schiariti M, Tringali G, Franzini A, Calbucci F, Broggi G. Microvascular decompression for glossopharyngeal neuralgia: a long-term retrospectic review of the Milan-Bologna experience in 31 consecutive cases. Acta Neurochir (Wien). 2009;151(10):1245-1250. doi:10.1007/s00701-009-0330-5
  62. Xiong N, Zhao H, Zhang F, Liu R. Vagoglossopharyngeal neuralgia treated by microvascular decompression and glossopharyngeal rhizotomy: clinical results of 21 Cases. stereotact funct. Neurosurg. 2012;90(1):45-50. doi:10.1159/000333828
  63. Ma Y, Li Y, Wang Q, Wang B, Huang H. Neurosurgical treatment of glossopharyngeal neuralgia: analysis of 103 cases. J Neurosurg. 2016;124(4):1088-1092. doi:10.3171/2015.3.JNS141806
  64. Aksik IA. Microvascular decompression for accessory nerve in spasmodic torticollis. Zh Vopr Neirokhir Im N.N.Burdenko. 1993;4:5-8. (In Russ.).
  65. Lunardi P, Mastronardi L, Farah J, De Biase C, Trasimeni G, Gualdi G. Spinal accessory nerve palsy due to neurovascular compression. Report of a case diagnosed by magnetic resonance imaging and magnetic resonance angiography. Neurosurg Rev. 1996;19(3):175-178. doi:10.1007/bf00512048
  66. Shtange LA, Ogleznev KYa, Grigorjan JuA, Roshhina NA. Results of Microvascular decompression for accessory nerve in patients with spasmodic torticollis. Vopr Neirokhir Im N.N. Burdenko.1998;1:17-19. (In Russ.).
  67. Alafaci C, Salpietro F, Montemagno G, Grasso G, Tomasello F. Spasmodic torticollis due to neurovascular compression of the spinal accessory nerve by the anteroinferior cerebellar artery: case report. Neurosurgery. 2000;47(3):768-771. doi:10.1227/00006123-200009000-00049
  68. Anderson T, Rivest J, Stell R, Steiger M, Cohen H, Thompson P, and Marsden C. Botulinum toxin treatment of spasmodic torticollis. J R Soc Med. 1992;85(9):524-529.
  69. Dressler D, Tacik P, Saberi F. Botulinum toxin therapy of cervical dystonia: duration of therapeutic effects. J Neural Transm (Vienna). 2015;122(2):297-300. doi:10.1007/s00702-014-1253-8
  70. Jho H, Jannetta P. Microvascular decompression for spasmodic torticollis. Acta Neurochir (Wien).1995;134(1-2):21-26. doi:10.1007/bf01428497
  71. Sun K, Lu Y, Hu G, Luo C, Hou L, Chen J, Wu X, Mei Q. Microvascular decompression of the accessory nerve for treatment of spasmodic torticollis: early results in 12 cases. Acta Neurochir (Wien). 2009;151(10):1251-1257. doi:10.1007/s00701-009-0455-6
  72. Tair T, Kobayashi T, Takahashi K, Hori T. A new denervation procedure for idiopathic cervical dystonia. Journal of Neurosurgery: Spine. 2002;97(2):201-206. doi:10.3171/spi.2002.97.2.0201
  73. Krauss J, Koller R, Burgunder J. Partial myotomy/myectomy of the trapezius muscle with an asleep-awake-asleep anesthetic technique for treatment of cervical dystonia. Journal of Neurosurgery. 1999;91(5):889-891. doi:10.3171/jns.1999.91.5.0889
  74. Kiss Z, doig K, Ellasziw M, Ranawaya R., Suchowersky O. The Canadian multicenter trial of pallidal deep brain stimulation for cervical dystonia: preliminary results in three patients. Neurosurg Focus. 2004;17(1):5.
  75. Cheong J, Kim J, Yang M, Kim C. Resolution of isolated unilateral hypoglossal nerve palsy following microvascular decompression of the intracranial vertebral artery. J Korean Neurosurg Soc. 2011;49(3):167-170. doi:10.3340/jkns.2011.49.3.167
  76. Ohtsuka K, Sone A, Igarashi Y, Akiba H, Sakata M. Vascular compressive abducens nerve palsy disclosed by magnetic resonance imaging. Am J Ophthalmol. 1996;122(3):416-419. doi:10.1016/s0002-9394(14)72068-9
  77. Kato H, Nakajima M, Ohnaka Y, Ishihara K, Kawamura M. Recurrent abducens nerve palsy associated with neurovascular compression J Neurol Sci. 2010;295(1-2):135-136. doi:10.1016/j.jns.2010.05.001
  78. Ridder D, Menovsky T. Neurovascular compression of the abducent nerve causing abducent palsy treated by microvascular decompression. Case report. J Neurosurg. 2007;107(6):1231-1234. doi:10.3171/jns-07/12/1231
  79. Kobata H, Kondo A, Iwasaki K, Nishioka T. Combined hyperactive dysfunction syndrome of the cranial nerves: trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia: 11-year experience and review. Neurosurgery. 1998;43(6):1351-1361. doi:10.1097/00006123-199812000-00053
  80. Gressot L, Hassaneen W, Fox B, Mitchell B Tatsui C, Ehni B, Omeis I. Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. Case report and review of the literature. J Neurosurg Sci.2012;56(2):151-154.
  81. Matsushige T, Ikawa F, Ohbayashi N, Imada Y, Ogami R, Inagawa T. Case of painful tic convulsif: discussion of the underlying mechanisms and review of the literature. No Shinkei Geka. 2004;32(7):741-745.

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