{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:59:17Z","timestamp":1785481157906,"version":"3.56.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Microvascular decompression has been shown in multiple long-term series to provide durable pain freedom in 75\u201395% of patients with classical trigeminal neuralgia, defined as neuralgia related to an identified neurovascular conflict, frequently arterial. Surgical success relies on an effective decompression, achieved by displacing the offending arteries while avoiding neo-compression(s) by implanted material. The procedure is performed through a keyhole retrosigmoid (retromastoid) craniectomy, using an infratentorial, supracerebellar corridor to the trigeminal root that minimizes traction on the facial\u2013vestibulocochlear complex. In this video, we demonstrate the step-by-step technique as applied in patients in whom high-resolution MRI demonstrated the conflict preoperatively.<\/jats:p>","DOI":"10.1007\/s00701-026-06957-6","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T20:04:02Z","timestamp":1782590642000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How I do it: microvascular decompression for classical trigeminal neuralgia by arterial compression"],"prefix":"10.1007","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2458-0110","authenticated-orcid":false,"given":"M.","family":"Sindou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8732-6168","authenticated-orcid":false,"given":"C.","family":"Son","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2073-9123","authenticated-orcid":false,"given":"A.","family":"Brinzeu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"key":"6957_CR1","doi-asserted-by":"publisher","unstructured":"Barker 2nd FG, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia. 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Cephalalgia. 1\u2013211. https:\/\/doi.org\/10.1177\/0333102417738202","DOI":"10.1177\/0333102417738202"},{"key":"6957_CR6","doi-asserted-by":"publisher","first-page":"159","DOI":"10.3171\/jns.1967.26.1part2.0159","volume":"Suppl","author":"PJ Jannetta","year":"1967","unstructured":"Jannetta PJ (1967) Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg Suppl:159\u2013162. https:\/\/doi.org\/10.3171\/jns.1967.26.1part2.0159","journal-title":"J Neurosurg"},{"key":"6957_CR7","doi-asserted-by":"publisher","DOI":"10.3171\/2014.2.JNS131288","author":"PR Leal","year":"2014","unstructured":"Leal PR, Barbier C, Hermier M, Souza MA, Cristino-Filho G, Sindou M (2014) Atrophic changes in the trigeminal nerves of patients with trigeminal neuralgia due to neurovascular compression and their association with the severity of compression and clinical outcomes. J Neurosurg. https:\/\/doi.org\/10.3171\/2014.2.JNS131288","journal-title":"J Neurosurg"},{"key":"6957_CR8","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-006-0809-2","author":"M Sindou","year":"2006","unstructured":"Sindou M, Leston J, Howeidy T, Decullier E, Chapuis F (2006) Micro-vascular decompression for primary trigeminal neuralgia (typical or atypical). Long-term effectiveness on pain; prospective study with survival analysis in a consecutive series of 362 patients. Acta Neurochir (Wien). https:\/\/doi.org\/10.1007\/s00701-006-0809-2","journal-title":"Acta Neurochir (Wien)"},{"key":"6957_CR9","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000327022.79171.D6","author":"M Sindou","year":"2008","unstructured":"Sindou M, Leston JM, Decullier E, Chapuis F (2008) Microvascular decompression for trigeminal neuralgia: the importance of a noncompressive technique\u2013Kaplan-Meier analysis in a consecutive series of 330 patients. Neurosurgery. https:\/\/doi.org\/10.1227\/01.NEU.0000327022.79171.D6","journal-title":"Neurosurgery"},{"key":"6957_CR10","doi-asserted-by":"publisher","unstructured":"Zakrzewska JM, Nurmikko T, eds. (2021) Trigeminal neuralgia and other cranial neuralgias: a practical personalised holistic approach [Internet]. Oxford University Press; [cited 2026 Mar 23]. Available from: https:\/\/doi.org\/10.1093\/med\/9780198871606.001.0001","DOI":"10.1093\/med\/9780198871606.001.0001"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-026-06957-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06957-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06957-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:24:11Z","timestamp":1785479051000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-026-06957-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,27]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6957"],"URL":"https:\/\/doi.org\/10.1007\/s00701-026-06957-6","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,27]]},"assertion":[{"value":"24 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable \u2013 patient regular care.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All patients have given full informed consent for the surgeries in their presented form.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All patients have given full informed consent for publication of the date pertaining to their treatment including video-recordings.","order":3,"name":"Ethics","label":"Consent to publish","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"204"}}