J Korean Neurosurg Soc.  2014 Jan;55(1):64-65. 10.3340/jkns.2014.55.1.64.

Significance of Arachnoid Dissection to Obtain Optimal Exposure of Lower Cranial Nerves and the Facial Nerve Root Exit Zone during Microvascular Decompression Surgery

• Kim BT

• KMID: 2191046
• DOI: http://doi.org/10.3340/jkns.2014.55.1.64

Abstract

No abstract available.

MeSH Terms

Arachnoid*
Cranial Nerves*
Facial Nerve*
Microvascular Decompression Surgery*

Figure

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  Fig. 1 The outside of cortical anterior inferior cerebellar artery arachnoid membrane is dissected using microscissors.

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  Fig. 2 The sharp coninuous arachnoid dissection is extended toward anterior and inferior end of lower cranial nerves.

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  Fig. 3 The offending vessels and entire set of lower cranial nerves, facial nerve root exit zone are widely exposed. A : Left. B : Right.

Reference

1. Kim BT, Im SB, Chang JC, Shin WH, Choi SK, Byun BJ. Cerebellar cortical artery dissection technique for the preservation of operative fields during microvascular decompression for hemifacial spasm : technical note. J Korean Neurosurg Soc. 1998; 27:1533–1536.

2. Park JH, Jo KI, Park K. Delayed unilateral soft palate palsy without vocal cord involvement after microvascular decompression for hemifacial spasm. J Korean Neurosurg Soc. 2013; 53:364–367. PMID: 24003372.