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Vascular decompression is the indication par excellence for endoscopic surgery of

Vascular decompression is the indication par excellence for endoscopic surgery of the cerebellopontine angle. Hemifacial spasm Trigeminal neuralgia Glossopharyngeal neuralgia Tinnitus Disabling positional vertigo. TRIGEMINAL NEURALGIA. sca. aica. V. V. VIII. MRI T2 CISS sequence.

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Vascular decompression is the indication par excellence for endoscopic surgery of

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  1. Vascular decompression is the indication par excellence for endoscopic surgery of the cerebellopontine angle . Hemifacial spasm Trigeminal neuralgia Glossopharyngeal neuralgia Tinnitus Disabling positional vertigo

  2. TRIGEMINAL NEURALGIA sca aica V V VIII MRI T2 CISS sequence Endoscope 4mm, 30°

  3. Superior cerebellar artery

  4. Trigeminal neuralgia microscope endoscope Glossopharyngeal neuralgia

  5. Trigeminal Neuralgia N=141(86F/55M) SUCCESS RATE: 85% 21 REVISION SURGERY ON 15 CASES • 6 cases: recurrence due to fibrous tissue inducing new neurovascular conflict – 4 success, 2 failures • 3 cases: teflon displacement – 3 successes • 2 cases: aberrant vein – 1 success, 1 failure • 4 cases: no explanation, 4 partial rhizotomy Success rate: 92%

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