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The aim of surgery is to relieve the conflict, most often produced by the posterior inferior cerebellar artery, not infrequently in association with a compressive megadolicho-vertebrobasilar artery. This can be safely achieved by exposure of the Vago-Glossopharyngeal nerve complex through a retromastoid-retrosigmoid infrafloccular approach through the cisterna magna, allowing exposure the lateral medulla and root entry zone of the lower cranial nerves. This report provides our step-by-step recommended technique for optimal efficacy and safety.<\/jats:p>","DOI":"10.1007\/s00701-026-06824-4","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T22:15:13Z","timestamp":1772835313000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How I do it: microvascular decompression for vago-glossopharyngeal neuralgia"],"prefix":"10.1007","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2073-9123","authenticated-orcid":false,"given":"Andrei","family":"Brinzeu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8732-6168","authenticated-orcid":false,"given":"Cristian","family":"Son","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2458-0110","authenticated-orcid":false,"given":"Marc","family":"Sindou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"issue":"3","key":"6824_CR1","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1007\/s00701-014-2334-5","volume":"157","author":"J Chen","year":"2015","unstructured":"Chen J, Sindou M (2015) Vago-glossopharyngeal neuralgia: surgical anatomy and microvascular decompression technique. 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