{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T16:08:09Z","timestamp":1776096489992,"version":"3.50.1"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,2,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The anterior inferior cerebellar artery (AICA) is the second most common neurovascular etiology of trigeminal neuralgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Here the authors build on a prior reported technique for noncompressive decompression of a curious anatomical AICA variant, where a loop of the main artery nearly completely encircles the trigeminal nerve to circumferentially impact it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Circuitous anatomy of AICA may present particular challenges for microvascular decompression, but it is still possible to achieve a noncompressive configuration to best limit future irritation of the trigeminal nerve. An optimal and durable separation of the AICA loop and trigeminal nerve adhering to noncompressive principles was achieved using two aneurysm clips to fix a Teflon felt to the tentorium and petrous face of the temporal bone.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25388\">https:\/\/thejns.org\/doi\/10.3171\/CASE25388<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25388","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:30:05Z","timestamp":1770298205000},"source":"Crossref","is-referenced-by-count":0,"title":["Microvascular decompression of aberrantly looped anterior inferior cerebellar artery: illustrative case"],"prefix":"10.3171","volume":"11","author":[{"given":"Eric Y.","family":"Montgomery","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Colorado, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashkaun","family":"Razmara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Colorado, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Breeze","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Colorado, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Ann Surg","first-page":"787","article-title":"The treatment of trigeminal neuralgia by the cerebellar route","volume":"96","author":"Dandy","year":"1932","unstructured":"Dandy WE.The treatment of trigeminal neuralgia by the cerebellar route. Ann Surg. 1932;96(4):787-795. doi:10.1097\/00000658-193210000-00026"},{"issue":"4","key":"bib2","series-title":"J Neurosurg","first-page":"559","article-title":"Bilateral trigeminal neuralgia: a 14-year experience with microvascular decompression","volume":"68","author":"Pollack","year":"1988","unstructured":"Pollack IFJannetta PJBissonette DJ.Bilateral trigeminal neuralgia: a 14-year experience with microvascular decompression. J Neurosurg. 1988;68(4):559-565. doi:10.3171\/jns.1988.68.4.0559"},{"issue":"17","key":"bib3","series-title":"N Engl J Med","first-page":"1077","article-title":"The long-term outcome of microvascular decompression for trigeminal neuralgia","volume":"334","author":"Barker","year":"1996","unstructured":"Barker FG II Jannetta PJBissonette DJLarkins MVJho HD.The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996;334(17):1077-1083. doi:10.1056\/NEJM199604253341701"},{"issue":"5","key":"bib4","series-title":"Neurosurg Focus","first-page":"E5","article-title":"Technique of microvascular decompression. Technical note","volume":"18","author":"Jannetta","year":"2005","unstructured":"Jannetta PJMcLaughlin MRCasey KF.Technique of microvascular decompression. Technical note. Neurosurg Focus. 2005;18(5):E5. doi:10.3171\/foc.2005.18.5.6"},{"issue":"5","key":"bib5","series-title":"Oper Neurosurg","first-page":"580","article-title":"Microvascular decompression for trigeminal neuralgia: a durable, noncompressive technique using Teflon secured with mini clip","volume":"16","author":"Breeze","year":"2019","unstructured":"Breeze RECraig DB.Microvascular decompression for trigeminal neuralgia: a durable, noncompressive technique using Teflon secured with mini clip. Oper Neurosurg. 2019;16(5):580-582. doi:10.1093\/ons\/opy212"},{"issue":"4","key":"bib6","series-title":"Neurosurgery","first-page":"341","article-title":"Microvascular decompression for trigeminal neuralgia: the importance of a noncompressive technique\u2014Kaplan\u2013Meier analysis in a consecutive series of 330 patients","volume":"63","author":"Sindou","year":"2008","unstructured":"Sindou MLeston JMDecullier EChapuis F.Microvascular decompression for trigeminal neuralgia: the importance of a noncompressive technique\u2014Kaplan\u2013Meier analysis in a consecutive series of 330 patients. Neurosurgery. 2008;63(4)(suppl 2):341-350. doi:10.1227\/01.NEU.0000327022.79171.D6"},{"issue":"6","key":"bib7","series-title":"J Neurosurg","first-page":"757","article-title":"A 10-year experience in the treatment of trigeminal neuralgia. 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Arch Neurol. 1967;16(5):565-567."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"884","article-title":"Microsurgical anatomy of the trigeminal nerve and the trigeminal ganglion","volume":"22","author":"Okazaki","year":"1988","unstructured":"Okazaki AMatsushima TRhoton ALJr.Microsurgical anatomy of the trigeminal nerve and the trigeminal ganglion. Neurosurgery. 1988;22(5):884-894."},{"issue":"9","key":"bib10","series-title":"Acta Neurochir (Wien)","first-page":"1643","article-title":"Non-compressive suspension technique in microvascular decompression for trigeminal neuralgia","volume":"154","author":"Zhao","year":"2012","unstructured":"Zhao HShen JYou C.Non-compressive suspension technique in microvascular decompression for trigeminal neuralgia. Acta Neurochir (Wien). 2012;154(9):1643-1647."},{"key":"bib11","series-title":"Surg Neurol Int","first-page":"94","article-title":"Arterial sling technique for trigeminal microvascular decompression","volume":"8","author":"Costa","year":"2017","unstructured":"Costa CNTedeschi HCerullo Ade Oliveira E.Arterial sling technique for trigeminal microvascular decompression. Surg Neurol Int. 2017;8:94."},{"issue":"6","key":"bib12","series-title":"Neurosurgery","first-page":"920","article-title":"Microvascular decompression for trigeminal neuralgia: surgical techniques and long-term results in 150 consecutive cases","volume":"17","author":"Kanno","year":"1985","unstructured":"Kanno THongo KKobayashi S.Microvascular decompression for trigeminal neuralgia: surgical techniques and long-term results in 150 consecutive cases. 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