Endoscopic and Microscopic Microvascular Decompression.
The introduction of the endoscope into the neurosurgeon's armamentarium has revolutionized ventral and anterior skull-base surgery and, more recently, has been used in the surgical treatment of cerebellopontine angle (CPA) pathology. The utilization of the endoscope in microvascular decompression (MVD) for trigeminal neuralgia and other associated cranial nerve hyperactivity syndromes allows for unparalleled panoramic views and illumination of the neurovascular structures within the CPA and identification of vessel-nerve contact traditionally unseen using the microscope. In this article, the technical advantages and challenges of using the endoscope for MVD, operative technique, and patient outcomes of endoscopic MVD are discussed.
Department of Neurosurgery, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania, 3400 Spruce Street, 3rd Floor Silverstein, Philadelphia, PA 19104, USA.
Matthew
M
Piazza
Department of Neurosurgery, Pennsylvania Hospital, Perelman School of Medicine at the University of Pennsylvania, 235 South 8th Street, Washington Square West Building, Philadelphia, PA 19106, USA. Electronic address: john.lee3@uphs.upenn.edu.
John Y K
JY
Lee
D006488:Hemostasis, Surgical; D006801:Humans; D061145:Microvascular Decompression Surgery / Q000379:methods*; D044583:Neuroendoscopy / Q000379:methods*; D016896:Treatment Outcome; D014277:Trigeminal Neuralgia / Q000601:surgery*
Endoscopic microvascular decompression; Microvascular decompression; Neuroendoscopy; Skull-base surgery; Trigeminal neuralgia