{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:42:59Z","timestamp":1784335379910,"version":"3.55.0"},"reference-count":49,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The treatment landscape for trigeminal neuralgia (TN) involves various surgical interventions, among which microvascular decompression (MVD) stands out as highly effective. While MVD offers significant benefits, its success relies on precise surgical techniques and patient selection. In addition, the emergence of awake surgery techniques presents new opportunities to improve outcomes and minimize complications associated with MVD for TN.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>A thorough review of the literature was conducted to explore the effectiveness and challenges of MVD for TN, as well as the impact of awake surgery on its outcomes. PubMed and Medline databases were searched from inception to March 2024 using specific keywords \u201cAwake Neurosurgery,\u201d \u201cMicrovascular Decompression,\u201d AND \u201cTrigeminal Neuralgia.\u201d Studies reporting original research on human subjects or preclinical investigations were included in the study.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>This review highlighted that MVD emerges as a highly effective treatment for TN, offering long-term pain relief with relatively low rates of recurrence and complications. Awake surgery techniques, including awake craniotomy, have revolutionized the approach to MVD, providing benefits such as reduced postoperative monitoring, shorter hospital stays, and improved neurological outcomes. Furthermore, awake MVD procedures offer opportunities for precise mapping and preservation of critical brain functions, enhancing surgical precision and patient outcomes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The integration of awake surgery techniques, particularly awake MVD, represents a significant advancement in the treatment of TN. Future research should focus on refining awake surgery techniques and exploring new approaches to optimize outcomes in MVD for TN.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_286_2024","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T11:25:55Z","timestamp":1719573955000},"page":"215","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Awake neurosurgery: Advancements in microvascular decompression for trigeminal neuralgia"],"prefix":"10.25259","volume":"15","author":[{"given":"Areeba","family":"Fareed","sequence":"first","affiliation":[{"name":"Global Neurosurgical Alliance, Tucson, Arizona, USA"},{"name":"Karachi Medical and Dental College, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoha","family":"Iftikhar","sequence":"additional","affiliation":[{"name":"Global Neurosurgical Alliance, Tucson, Arizona, USA"},{"name":"Karachi Medical and 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