{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T13:47:14Z","timestamp":1750686434863,"version":"3.37.3"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Surgical access to the middle fossa can be technically challenging. As neurosurgery evolves to minimally invasive approaches, the objective of this study is to demonstrate the extension of the Minipterional approach to access the middle fossa. We present a new surgical approach to the middle fossa for the treatment of secondary trigeminal neuralgia. Three cases are reported to illustrate the following techniques: a patient with petrotentorial meningioma and trigeminal neuralgia, a patient with an arachnoid cyst compressing the fifth nerve, and a patient with a middle cerebral artery aneurysm and a long history of TN (trigeminal neuralgia) refractory to medical and surgical treatments. All three experienced full symptom controls with no permanent neurological deficits. Therefore, the Minipterional technique might represent a feasible, effective, and safe option to treat refractory secondary TN. It also allows approaching these lesions when the posterior fossa approach is compromised by anatomical distortion and enables the simultaneous treatment of secondary trigeminal neuralgia and other lesions, such as aneurysms and meningiomas.<\/jats:p>","DOI":"10.1055\/s-0042-1743464","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:06:47Z","timestamp":1646957207000},"page":"105-111","source":"Crossref","is-referenced-by-count":1,"title":["Minipterional Approach for Middle Fossa Skull Base Lesions: Technical Note"],"prefix":"10.1055","volume":"84","author":[{"given":"Jorge M.","family":"Mura","sequence":"additional","affiliation":[{"name":"Department of Neurological Sciences, University of Chile, Santiago, Chile"},{"name":"Department of Cerebrovascular and Skull Base Surgery, Institute of Neurosurgery Asenjo, Providencia, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00edcollas N.","family":"Rabelo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9322-0405","authenticated-orcid":false,"given":"Joao P. M.","family":"Telles","sequence":"additional","affiliation":[{"name":"Department of Neurology, Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom\u00e1s","family":"Poblete","sequence":"additional","affiliation":[{"name":"Department of Neurological Sciences, University of Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00edctor","family":"Hern\u00e1ndez-\u00c1lvarez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Barros Luco Trudeau, Santiago, Chile"},{"name":"Department of Neurosurgery, Universidad Santiago de Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebasti\u00e1n","family":"Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Barros Luco Trudeau, Santiago, Chile"},{"name":"Department of Neurosurgery, Hospital de Coyhaique, Coyhaique, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eberval G.","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1468-2982.2003.00824.x","article-title":"Preface to the second edition","volume":"24","author":"J Olesen","year":"2004","journal-title":"Cephalalgia"},{"key":"ref2","first-page":"294","article-title":"The history of the development of treatment for trigeminal neuralgia","volume":"32","author":"W H Sweet","year":"1985","journal-title":"Clin Neurosurg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"359","DOI":"10.3171\/jns.1989.71.3.0359","article-title":"Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia","volume":"71","author":"J B Bederson","year":"1989","journal-title":"J Neurosurg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"527","DOI":"10.3171\/jns.2002.96.3.0527","article-title":"Predictors of outcome in surgically managed patients with typical and atypical trigeminal neuralgia: comparison of results following microvascular decompression","volume":"96","author":"E C Tyler-Kabara","year":"2002","journal-title":"J Neurosurg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1136\/jnnp.68.1.59","article-title":"Microvascular decompression for trigeminal neuralgia: comments on a series of 250 cases, including 10 patients with multiple sclerosis","volume":"68","author":"G Broggi","year":"2000","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"15","key":"ref7","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1001\/jama.1959.03010150017004","article-title":"Response of trigeminal neuralgia to decompression of sensory root; 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