{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:56:07Z","timestamp":1786125367977,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T00:00:00Z","timestamp":1573689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This is the case of an 86-yr-old gentleman who presented with left facial pain exacerbated by eating, drinking, chewing, and shaving (distribution: V2, V3). The patient was diagnosed with trigeminal neuralgia and was refractory to medications. Imaging showed a superior cerebellar artery (SCA) loop adjacent to the trigeminal nerve root entry zone and a decision to perform a microvascular decompression of the fifth nerve was presented to the patient. After patient informed consent was obtained, a standard 3\u00a0cm \u00d7 3\u00a0cm retrosigmoid craniotomy was performed with the patient in a supine head turned position and in reverse Trendelenburg. The arachnoid bands tethering the SCA to the trigeminal nerve were sharply divided. A slit was then made in the tentorium and a 3 mm fenestrated clip was then used to secure the transposed SCA away from the trigeminal nerve. The SCA proximal to this was slightly patulous in its course so a small amount of a fibrin glue was also used to secure the more proximal SCA to the tentorium. The patient was symptom-free postoperatively and no longer required medical therapy. Additionally, imaging was consistent with adequate separation of the nerve from adjacent vessels.\n                    <jats:sup>1-5<\/jats:sup>\n                  <\/jats:p>","DOI":"10.1093\/ons\/opz291","type":"journal-article","created":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T06:19:58Z","timestamp":1573712398000},"page":"E50-E51","source":"Crossref","is-referenced-by-count":9,"title":["Vascular Transposition of the Superior Cerebellar Artery Using a Fenestrated Clip and Fibrin Glue in Trigeminal Neuralgia: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"19","author":[{"given":"Karl R","family":"Abi-Aad","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Turcotte","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devi P","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew E","family":"Welz","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanmoy","family":"Maiti","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Kalen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandan","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard S","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3506-3074","authenticated-orcid":false,"given":"Bernard R","family":"Bendok","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona"},{"name":"Department of Otolaryngology, Mayo Clinic, Phoenix, Arizona"},{"name":"Department of Radiology, Mayo Clinic, Phoenix, Arizona"},{"name":"Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona"},{"name":"Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,7]]},"reference":[{"issue":"5","key":"bib1-20231101","doi-asserted-by":"crossref","first-page":"929","DOI":"10.3171\/jns.2007.106.5.929","article-title":"Use of fenestrated aneurysm clips in microvascular decompression surgery. Technical note and case series","volume":"106","author":"Attabib","year":"2007","journal-title":"J Neurosurg"},{"key":"bib2-20231101","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.wneu.2017.07.110","article-title":"Microvascular decompression for trigeminal neuralgia using a novel fenestrated clip and tentorial flap technique","volume":"106","author":"Gonzalez-Quarante","year":"2017","journal-title":"World Neurosurg"},{"key":"bib3-20231101","doi-asserted-by":"crossref","first-page":"e460","DOI":"10.1016\/j.wneu.2018.05.006","article-title":"Novel technical variations and increased adhesive strength in the \u201cbirdlime\u201d transposition technique for microvascular decompression","volume":"116","author":"Otani","year":"2018","journal-title":"World Neurosurg"},{"issue":"3","key":"bib4-20231101","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s00701-007-1488-3","article-title":"Various surgical modalities for trigeminal neuralgia: literature study of respective long-term outcomes","volume":"150","author":"Tatli","year":"2008","journal-title":"Acta Neurochir (Wien)"},{"key":"bib5-20231101","doi-asserted-by":"crossref","first-page":"e473","DOI":"10.1016\/j.wneu.2017.11.022","article-title":"Efficacy of biomedical glue sling technique versus traditional technique for microvascular decompression for hemifacial spasm with refractory hypertension","volume":"110","author":"Zhang","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/19\/1\/E50\/33348196\/opz291.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opz291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:54:29Z","timestamp":1786121669000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opz291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,14]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opz291","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,14]]}}}