{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:54:47Z","timestamp":1785545687791,"version":"3.56.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T00:00:00Z","timestamp":1656892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T00:00:00Z","timestamp":1656892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Dalian Medical Science Research Program","award":["1912025"],"award-info":[{"award-number":["1912025"]}]},{"name":"Dalian Science and Technology Innovation Fund Plan Program","award":["2018J13SN097"],"award-info":[{"award-number":["2018J13SN097"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Neurol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>An anterior inferior cerebellar artery (AICA) that crosses the right trigeminal nerve is an uncommon arterial anatomic variation. In this anatomical position, it is difficult to separate or move the offending blood vessels and nerves. We report an uncommon case of trigeminal neuralgia (TN) caused by compression of the trigeminal ganglion by a branch of the AICA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 34-year-old man with 5\u2009years history who complained of pain on the right side of the face (area V1). The symptoms gradually worsened, and the pain episodes became intense and frequent. Magnetic resonance imaging (MRI) of the cerebrum showed a small blood vessel passing through the right trigeminal nerve. Microvascular decompression (MVD) was performed,because medication was ineffective. Intraoperative exploration confirmed that the vessel which was a branch of the AICA passing through the right trigeminal nerve. As while the artery was temporarily clipped, electrophysiological monitoring showed a decrease in the amplitude of nerve activity. As the artery was considered too important to be sacrificed, the space between the nerves was enlarged mildly, the artery was liberated, the Teflon implant was shredded and placed between the artery branches and nerve to make the blood vessels as perpendicular as possible to the nerve. The patient had no neurological dysfunction and no pain after 8\u2009months of follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>MVD is an effective treatment for artery-induced trigeminal nerve compression, but we report a novel procedure that avoids the complication of facial numbness caused by cutting the offending vessels and incision of the trigeminal nerve.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12883-022-02765-4","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T11:14:13Z","timestamp":1656933253000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Microvascular decompression in trigeminal neuralgia with the offending artery transfixing the nerve: a case report"],"prefix":"10.1186","volume":"22","author":[{"given":"Xinyu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenqing","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"2765_CR1","doi-asserted-by":"publisher","first-page":"101","DOI":"10.3109\/02688699409002402","volume":"8","author":"AW Fitt","year":"1994","unstructured":"Fitt AW, Pigott TJ, Marks PV. Undiagnosed epidermoid cyst presenting as trigeminal neuralgia: a need for MRI. Br J Neurosurg. 1994;8:101\u20133.","journal-title":"Br J Neurosurg"},{"key":"2765_CR2","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1097\/00006123-199710000-00003","volume":"41","author":"M Samii","year":"1997","unstructured":"Samii M, Carvalho GA, Tatagiba M, Matthies C. Surgical management of meningiomas originating in Meckel\u2019s cave. Neurosurgery. 1997;41:767\u201374; discussion 774-775.","journal-title":"Neurosurgery"},{"key":"2765_CR3","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1007\/s00701-016-3061-4","volume":"159","author":"Z-Y Li","year":"2017","unstructured":"Li Z-Y, Liang J-T, Zhang H-Q, Bao Y-H, Ling F. Trigeminal neuralgia caused by a dilated superior cerebellar artery and a draining vein of cerebellar arteriovenous malformations: a case report and review of the literature. 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Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. 1967. J Neurosurg. 2007;107:216\u20139.","journal-title":"J Neurosurg"},{"key":"2765_CR7","doi-asserted-by":"publisher","first-page":"E629","DOI":"10.1227\/01.NEU.0000155083.39755.53","volume":"56","author":"BS Patrick","year":"2005","unstructured":"Patrick BS. Unusual nerve-artery relationship in microvascular exploration for tic douloureux. Neurosurgery. 2005;56:E629.","journal-title":"Neurosurgery"},{"key":"2765_CR8","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1227\/01.NEU.0000351757.29658.C0","volume":"65","author":"GM Helbig","year":"2009","unstructured":"Helbig GM, Callahan JD, Cohen-Gadol AA. Variant intraneural vein-trigeminal nerve relationships: an observation during microvascular decompression surgery for trigeminal neuralgia. Neurosurgery. 2009;65:958\u201361.","journal-title":"Neurosurgery"},{"key":"2765_CR9","doi-asserted-by":"publisher","first-page":"687. e7","DOI":"10.1016\/j.wneu.2015.11.059","volume":"88","author":"J Jito","year":"2016","unstructured":"Jito J, Nozaki K. Trigeminal neuralgia attributable to Intraneural Trigeminocerebellar artery: case report and review of the literature. World Neurosurg. 2016;88:687. e7\u2013e11.","journal-title":"World Neurosurg"}],"container-title":["BMC Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-022-02765-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12883-022-02765-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-022-02765-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T11:16:25Z","timestamp":1656933385000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcneurol.biomedcentral.com\/articles\/10.1186\/s12883-022-02765-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,4]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["2765"],"URL":"https:\/\/doi.org\/10.1186\/s12883-022-02765-4","relation":{},"ISSN":["1471-2377"],"issn-type":[{"value":"1471-2377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,4]]},"assertion":[{"value":"7 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 June 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Institutional Review Board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this Case Report. A copy of the written consent is available for review by the Editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"244"}}