Subacute vision loss after microvascular decompression for trigeminal neuralgia.
Microvascular decompression
Trigeminal neuralgia
Venous sinus stenosis
Vision loss
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
10
02
2021
accepted:
16
03
2021
pubmed:
4
4
2021
medline:
9
7
2021
entrez:
3
4
2021
Statut:
ppublish
Résumé
Microvascular decompression is the surgery of choice for typical trigeminal neuralgia (TN) that fails conservative medical management. Visual loss after MVD is a rare complication that has not been reported. In this article, we present a patient who developed delayed visual loss and papilledema from transverse sinus stenosis resulting from bone wax compression after MVD for TN. While waxing the edges of a retrosigmoid craniotomy may seem mundane, meticulous care should be taken to ensure that there is no compression of the venous sinuses, as this could lead to intracranial hypertension.
Identifiants
pubmed: 33811522
doi: 10.1007/s00701-021-04819-x
pii: 10.1007/s00701-021-04819-x
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1635-1638Références
Abou-Al-Shaar H, Gozal YM, Alzhrani G et al (2018) Cerebral venous sinus thrombosis after vestibular schwannoma surgery: a call for evidence-based management guidelines. Neurosurg Focus 45(1):E4
doi: 10.3171/2018.4.FOCUS18112
Broggi G, Ferroli P, Franzini A et al (2000) Microvascular decompression for trigeminal neuralgia: comments on a series of 250 cases, including 10 patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 68(1):59–64
doi: 10.1136/jnnp.68.1.59
Crocker M, Nesbitt A, Rich P, Bell B (2008) Symptomatic venous sinus thrombosis following bone wax application to emissary veins. Br J Neurosurg 22(6):798–800
doi: 10.1080/02688690802256399
Fargen KM, Garner RM, Kittel C, Wolfe SQ (2020) A descriptive study of venous sinus pressures and gradients in patients with idiopathic intracranial hypertension. J Neurointerv Surg 12(3):320–325
doi: 10.1136/neurintsurg-2019-015251
Hanakita J, Kondo A (1988) Serious complications of microvascular decompression operations for trigeminal neuralgia and hemifacial spasm. Neurosurgery. 22(2):348–352
doi: 10.1227/00006123-198802000-00012
Han-Bing S, Wei-Guo Z, Jun Z et al (2010) Predicting the outcome of microvascular decompression for trigeminal neuralgia using magnetic resonance tomographic angiography. J Neuroimaging 20(4):345–349
doi: 10.1111/j.1552-6569.2009.00378.x
Ling PY, Mendelson ZS, Reddy RK et al (2014) Reconstruction after retrosigmoid approaches using autologous fat graft-assisted Medpor Titan cranioplasty: assessment of postoperative cerebrospinal fluid leaks and headaches in 60 cases. Acta Neurochir 156(10):1879–1888
doi: 10.1007/s00701-014-2190-x
Matsushima K, Kohno M, Tanaka Y et al (2020) Management of sigmoid sinus injury: retrospective study of 450 consecutive surgeries in the cerebellopontine angle and intrapetrous region. Oper Neurosurg (Hagerstown) 19(6):721–729
Miller JP, Acar F, Burchiel KJ (2009) Classification of trigeminal neuralgia: clinical, therapeutic, and prognostic implications in a series of 144 patients undergoing microvascular decompression. J Neurosurg 111(6):1231–1234
doi: 10.3171/2008.6.17604
Oesman C, Mooij JJ (2011) Long-term follow-up of microvascular decompression for trigeminal neuralgia. Skull Base 21(5):313–322
doi: 10.1055/s-0031-1284213
Sandell T, Eide PK (2008) Effect of microvascular decompression in trigeminal neuralgia patients with or without constant pain. Neurosurgery. 63(1):93–99 discussion 99-100
doi: 10.1227/01.NEU.0000335075.16858.EF
West JL, Greeneway GP, Garner RM et al (2019) Correlation between angiographic stenosis and physiologic venous sinus outflow obstruction in idiopathic intracranial hypertension. J Neurointerv Surg 11(1):90–94
doi: 10.1136/neurintsurg-2018-014004
Yadav YR, Nishtha Y, Sonjjay P et al (2017) Trigeminal neuralgia. Asian J Neurosurg 12(4):585–597
doi: 10.4103/ajns.AJNS_67_14