Contralateral neurologic deficits following microvascular decompression surgery--a case report.
Microvascular decompression (MVD) surgery for trigeminal neuralgia (Jannetta operation) is common in our institution, and postoperative complications are uncommon. However, a 46 year-old obese female who underwent MVD surgery for right trigeminal neuralgia suffered from postoperative neurologic deficits consisting of left facial palsy, left total deafness, weakness and numbness of the left arm, and unsteady gait. Here, we bring forth the patient's postoperative events, such as delayed emergence, postoperative convulsions, pneumocephalus, and probable causes of the neurologic deficits for discussion.
Department of Anesthesiology, Taichung Veterans General Hospital, 160, Sec. 3, Taichung-Kang Road, Taichung 407, Taiwan, R.O.C. r1203@ms4.seeder.net
Chiai-Mao
CM
Hung
Hsung-Ming
HM
Kang
Ching-Hui
CH
Shen
Tsuan-Chih
TC
Yang
Chih-Cheng
CC
Wu
Wai-Meng
WM
Ho
D003638:Deafness / Q000209:etiology; D019299:Decompression, Surgical; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology*; D009460:Neurologic Examination; D011183:Postoperative Complications; D014277:Trigeminal Neuralgia / Q000601:surgery*