{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:51:57Z","timestamp":1768283517288,"version":"3.49.0"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>Microvascular decompression (MVD) via lateral suboccipital craniotomy is the standard surgical intervention for trigeminal neuralgia (TN). For recurrent TN, difficulties are sometimes encountered when performing reoperation via the same approach because of adhesions and prosthetic materials used in the previous surgery. In the present case report the authors describe the efficacy of the subtemporal transtentorial approach for use in recurrent TN after MVD via the lateral suboccipital approach. An 86-year-old woman, in whom an MVD via a lateral suboccipital craniotomy had previously been performed for TN, underwent surgery for recurrent TN via the subtemporal transtentorial approach, which provided excellent visualization of the neurovascular relationships and the trigeminal nerve without adhesions due to the previous surgery. Her TN disappeared after the MVD. The present approach is ideal for visualizing the trigeminal root entry zone, and the neurovascular complex can be easily dissected using a new surgical trajectory. This approach could be another surgical option for reoperation when the previous MVD had been performed via the suboccipital approach.<\/jats:p>","DOI":"10.3171\/2014.10.jns132643","type":"journal-article","created":{"date-parts":[[2014,11,25]],"date-time":"2014-11-25T20:51:31Z","timestamp":1416948691000},"page":"1429-1432","source":"Crossref","is-referenced-by-count":9,"title":["Subtemporal transtentorial approach for recurrent trigeminal neuralgia after microvascular decompression via the lateral suboccipital approach: case report"],"prefix":"10.3171","volume":"122","author":[{"given":"Toshihiro","family":"Ogiwara","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and"},{"name":"Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshikazu","family":"Kusano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Kuroiwa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takafumi","family":"Kiuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunihiko","family":"Kodama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Takemae","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagano Municipal Hospital, Nagano, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Hongo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-jns132643","series-title":"Clin Neurol Neurosurg","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1016\/j.clineuro.2011.06.003","article-title":"Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: naunces of the technique based on experiences with 100 patients and review of the literature","volume":"113","author":"Cohen-Gadol","year":"2011"},{"key":"b2-jns132643","series-title":"J Am Med Assoc","doi-asserted-by":"publisher","first-page":"1773","DOI":"10.1001\/jama.1959.03010150017004","article-title":"Response of trigeminal neuralgia to decompression of sensory root; discussion of cause of trigeminal neuralgia","volume":"170","author":"Gardner","year":"1959"},{"key":"b3-jns132643","series-title":"J Neurosurg Sci","first-page":"151","article-title":"Surgical treatment for combined hemifacial spasm and atypical trigeminal neuralgia caused by a tortuous basilar artery. 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