title: The "hanging technique" of vascular transposition in microvascular decompression for trigeminal neuralgia: technical report of four cases.
abstract: The successful long-term outcome of microvascular decompression for trigeminal neuralgia is largely dependent on the maintenance of the isolation between the trigeminal nerve and the offending vessel, avoiding also the development of scar tissue around the nerve. We propose an alternative technique to achieve this target by "hanging" the offending vessel from the overlying tentorium using a strip of autologous tissue without interposing any foreign material.
authors.affiliation: Wolfson College, University of Oxford, Oxford, UK. aristotelis.mitsos@wolfson-oxford.com
authors.forename: Aristotelis P
authors.initials: AP
authors.lastname: Mitsos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Georgakoulias
authors.forename: Spiridon A
authors.initials: SA
authors.lastname: Lafazanos
authors.forename: Evangelos A
authors.initials: EA
authors.lastname: Konstantinou
mesh_terms: D002196:Capillaries / Q000601:surgery; D002560:Cerebrovascular Circulation / Q000502:physiology; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D014276:Trigeminal Nerve / Q000601:surgery; D014277:Trigeminal Neuralgia / Q000601:surgery*