{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:53:49Z","timestamp":1754146429377,"version":"3.41.2"},"reference-count":10,"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>Trigeminal neuralgia (TN) is predominantly caused by arterial compression of the trigeminal nerve; however, venous conflicts, particularly involving Dandy\u2019s vein and the superior petrosal sinus (SPS), represent an uncommon but significant etiology.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>We report a case of a 40-year-old female suffering from debilitating right-sided facial pain due to a rare \u201cscissor effect\u201d produced by the superior petrosal sinus and Dandy\u2019s vein (vein of the cerebellomesencephalic fissure) compressing the trigeminal nerve. Surgical decompression was performed by interposing autologous skeletal muscle wrapped with Surgicel between the conflicting venous structures and the nerve. The patient achieved complete pain relief without neurological deficits.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This case underscores the importance of recognizing venous causes of TN and highlights the effectiveness of Dandy\u2019s vein decompression.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_372_2025","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T08:51:07Z","timestamp":1752828667000},"page":"289","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dandy\u2019s vein decompression for trigeminal neuralgia: A rare venous conflict causing intractable facial pain"],"prefix":"10.25259","volume":"16","author":[{"given":"Md Moshiur","family":"Rahman","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Holy Family Red Crescent Medical College, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Ahmed","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bangladesh Medical University, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhtamim","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bangladesh Medical College, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riad","family":"Habib","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Enam Medical College and Hospital, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md Mahbub","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SSMC&H- Sir Salimullah Medical College and Hospital, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md Ruhul","family":"Kuddus","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bangladesh Medical University, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"10.25259\/SNI_372_2025\/ref-1","doi-asserted-by":"crossref","first-page":"462","DOI":"10.25122\/jml-2024-0040","article-title":"Trigeminal neuralgia caused by venous compression: A comprehensive literature review","volume":"17","author":"Abdallah","year":"2024","journal-title":"J Med Life"},{"key":"10.25259\/SNI_372_2025\/ref-2","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1080\/02688690701397773","article-title":"Superior petrosal vein in trigeminal neuralgia","volume":"21","author":"Choudhari","year":"2007","journal-title":"Br J Neurosurg"},{"key":"10.25259\/SNI_372_2025\/ref-3","first-page":"593","article-title":"No Shinkei 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Burdenko"},{"key":"10.25259\/SNI_372_2025\/ref-7","doi-asserted-by":"crossref","first-page":"106230","DOI":"10.1016\/j.clineuro.2020.106230","article-title":"Outcomes of microvascular decompression for trigeminal neuralgia with purely venous compression: A systematic review and meta-analysis","volume":"198","author":"Soni","year":"2020","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_372_2025\/ref-8","doi-asserted-by":"crossref","first-page":"E2","DOI":"10.3171\/2018.4.FOCUS18122","article-title":"Bridging veins and veins of the brainstem in microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm","volume":"45","author":"Toda","year":"2018","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_372_2025\/ref-9","first-page":"88","article-title":"Microvascular decompression for trigeminal neuralgia due to venous compression","volume":"52","author":"Toda","year":"2024","journal-title":"No Shinkei Geka"},{"key":"10.25259\/SNI_372_2025\/ref-10","doi-asserted-by":"crossref","first-page":"e707","DOI":"10.1016\/j.wneu.2018.02.130","article-title":"Microvascular decompression for classical trigeminal neuralgia caused by venous compression: Novel anatomic classifications and surgical strategy","volume":"113","author":"Wu","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology 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