{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T11:46:00Z","timestamp":1750938360483,"version":"3.28.0"},"reference-count":5,"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":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003This article describes a novel technique for trigeminal nerve decompression in the setting of refractory trigeminal neuralgia (TN).<\/jats:p><jats:p>\n          Design\u2003Technical note with an illustrative case example and operative video.<\/jats:p><jats:p>\n          Setting\u2003Outpatient, inpatient, and operating room of a quaternary neurosurgical referral center.<\/jats:p><jats:p>\n          Participant\u2003A woman in her early 70s who had previously undergone linear accelerator-based stereotactic radiotherapy (i.e., CyberKnife) and achieved 2 years of partial pain relief. However, facial pain, numbness, and parasympathetic dysfunction returned and became unbearable.<\/jats:p><jats:p>\n          Main Outcome Measure\u2003Durable relief of TN.<\/jats:p><jats:p>\n          Results\u2003Microvascular decompression was recommended for refractory TN. Intraoperatively, the trigeminal nerve was markedly attenuated from previous irradiation, with the superior cerebellar artery (SCA) loop embedded in the nerve at its root entry zone. The arterial loop was mobilized into a new position superior to the nerve, thus liberating it from the impingement. The tentorium was incised, and a fenestrated aneurysm clip was positioned such that the SCA loop was transmitted via the fenestration. The clip was applied across the tentorium, thus suspending the artery in a kink-free orientation that made no contact with the nerve.<\/jats:p><jats:p>\n          Conclusion\u2003This procedure provided excellent neurovascular decompression without placing mechanical strain on the nerve, relieving the patient's persistent postirradiation TN. The technique could have broader applications for other challenging or atypical microvascular decompression procedures.<\/jats:p>","DOI":"10.1055\/s-0042-1760295","type":"journal-article","created":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T23:53:35Z","timestamp":1673913215000},"page":"106-108","source":"Crossref","is-referenced-by-count":1,"title":["Fenestrated Aneurysm Clip Trigeminal Decompression after CyberKnife Treatment Failure"],"prefix":"10.1055","volume":"85","author":[{"given":"Christopher S.","family":"Graffeo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lea","family":"Scherschinski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sufyan","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob F.","family":"Baranoski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Visish M.","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T.","family":"Lawton","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/1756285609359317","article-title":"Treatment options in trigeminal neuralgia","volume":"3","author":"M Obermann","year":"2010","journal-title":"Ther Adv Neurol Disord"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1093\/neuros\/nyab229","article-title":"Microvascular decompression for trigeminal neuralgia: a prospective, multicenter study","volume":"89","author":"Y Mizobuchi","year":"2021","journal-title":"Neurosurgery"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1097\/SCS.0000000000000984","article-title":"Effectiveness and safety of microvascular decompression surgery for treatment of trigeminal neuralgia: a systematic review","volume":"25","author":"L Xia","year":"2014","journal-title":"J Craniofac Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1227\/01.neu.0000317313.46826.dc","article-title":"Cyberknife radiosurgery for trigeminal neuralgia treatment: a preliminary multicenter experience","volume":"62","author":"A T Villavicencio","year":"2008","journal-title":"Neurosurgery"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"432","DOI":"10.2176\/nmc.ra.2014-0393","article-title":"Patterns and variations in microvascular decompression for trigeminal neuralgia","volume":"55","author":"H Toda","year":"2015","journal-title":"Neurol Med Chir (Tokyo)"}],"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1760295.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:04:35Z","timestamp":1730811875000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1760295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,16]]},"references-count":5,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,24]]},"published-print":{"date-parts":[[2024,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1760295","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"type":"print","value":"2193-6331"},{"type":"electronic","value":"2193-634X"}],"subject":[],"published":{"date-parts":[[2023,1,16]]}}}