title: Complication caused by use of fibrin glue in vessel transposition for trigeminal neuralgia.
abstract: A 64-year-old man underwent microvascular decompression of the left superior cerebellar artery (SCA) for left trigeminal neuralgia (TN) using a sling of Teflon tape fixed to the tentorium with fibrin glue. The TN disappeared immediately after surgery, but recurred unusually rapidly at 2 weeks later at the same intensity as before. Second surgery revealed the SCA was suspended from the tentorium, but the trigeminal nerve was stretched and displaced superolaterally because of adhesion to the superior petrosal vein. The adhesion was thought to involve the fibrin glue used during the sling retraction procedure. The nerve was meticulously dissected from the adhesion, and the trigeminal nerve was placed in the correct position. The postoperative course was uneventful, and the TN disappeared completely. We recommend that the smallest amount of the fibrin glue possible be used to avoid adhesion to the surrounding neurovascular elements.
authors.affiliation: Department of Neurosurgery, Fukuoka University, Faculty of Medicine, Jonan-ku, Fukuoka, Japan.
authors.forename: Mika
authors.initials: M
authors.lastname: Ohta
authors.forename: Fuminari
authors.initials: F
authors.lastname: Komatsu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Abe
authors.forename: Seizaburou
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Tsugu
authors.forename: Shinya
authors.initials: S
authors.lastname: Oshiro
authors.forename: Takeo
authors.initials: T
authors.lastname: Fukushima
mesh_terms: D015718:Fibrin Tissue Adhesive / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D000267:Tissue Adhesions / Q000139:chemically induced / Q000473:pathology / Q000601:surgery; D014014:Tissue Adhesives / Q000009:adverse effects*; D014277:Trigeminal Neuralgia / Q000209:etiology* / Q000473:pathology / Q000601:surgery*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives