scholarly journals Paroxysmal otalgia treated with microvascular decompression of the intermediate nerve: illustrative case

2021 ◽  
Vol 1 (19) ◽  
Author(s):  
Leonie Witters ◽  
Anton Lukes ◽  
Tomas Menovsky
Keyword(s):  
Surgical Treatment ◽  
Microvascular Decompression ◽  
Treatment Options ◽  
Pain Syndrome ◽  
Surgical Decompression ◽  
Illustrative Case ◽  
Disease Course ◽  
Neurovascular Conflict ◽  
Rare Type ◽  
Cranial Neuralgia

BACKGROUND Intermediate nerve neuralgia is a rare type of cranial neuralgia that causes clinical, therapeutic, and diagnostic challenges. Studies have described pharmacological and surgical treatment options. Surgical treatment ranges from sectioning of neural structures to microvascular decompression. Given the rareness of the disease, there are no clear recommendations concerning treatment. OBSERVATIONS Reported is the case of a patient with typical intermediate nerve neuralgia. In this particular case, decision-making toward surgical decompression in an earlier stage of the disease could have been beneficial. The authors found excellent results using only microvascular decompression without sectioning of neural structures. LESSONS Knowledge of intermediate nerve anatomy is essential to understand this complex pain syndrome. This case illustrates that surgery should not only be regarded as a last resort in case of failure of conservative treatment but also should be considered early in the disease course, especially in the case of a clear neurovascular conflict. When no evident cause is found, surgery could be considered as an exploratory option to depict a neurovascular conflict intraoperatively. Microvascular decompression of the intermediate nerve without sectioning of neural structures can obtain excellent results. Since neural structures are saved, postoperative sequelae can be limited.

scholarly journals Fibro Adipose Vascular Anomaly: A Rare and Often Misdiagnosed Entity

2021 ◽  
Vol 31 (03) ◽  
pp. 776-781
Author(s):  
Pushpinder S. Khera ◽  
Pawan K. Garg ◽  
Santhosh Babu ◽  
Poonam Elhence ◽  
Sarbesh Tiwari ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Features ◽  
Vascular Malformation ◽  
Treatment Options ◽  
Vascular Anomaly ◽  
Malignant Potential ◽  
Illustrative Case ◽  
Rare Type ◽  
Clinical Imaging ◽  
Benign Condition

AbstractFibro adipose vascular anomaly (FAVA) is a rare type of vascular malformation with distinct clinical features. The authors here discussed the clinical, imaging, differential diagnosis, histopathological features, and treatment options of FAVA along with an illustrative case. It is important to know about this uncommon entity as this can be misdiagnosed due to the overlapping clinical features with other common entities. It is a benign condition with no proven malignant potential. There are no guidelines regarding the best treatment option.

Idiopathic Trigeminal Neuralgia in the Healthy Patient

2019 ◽  
pp. 1-8
Author(s):  
Oren Sagher
Keyword(s):  
Health Status ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Treatment Options ◽  
Pain Syndrome ◽  
Operative Management ◽  
Differential Diagnoses ◽  
Healthy Patient ◽  
Pain Syndromes ◽  
Idiopathic Trigeminal Neuralgia

Abstract: Idiopathic trigeminal neuralgia is one of the most common pain syndromes encountered in a typical neurosurgical practice. The approach to these patients is nuanced, and is based on their overall health status, the characteristics of their pain, and the distribution of symptoms. This chapter describes the assessment of a healthy patient with trigeminal neuralgia and provides key differential diagnoses of this pain syndrome. The counseling of the patient regarding treatment options is also described. Finally, the chapter outlines the operative management of a healthy patient using a microvascular decompression (MVD), including surgical pearls and strategies for complication avoidance and management.

Surgical Treatment of Neuropathic Pain

2018 ◽  
pp. 63-72
Author(s):  
Jianguo Cheng ◽  
Wenbao Wang
Keyword(s):  
Spinal Cord ◽  
Neuropathic Pain ◽  
Surgical Treatment ◽  
Treatment Options ◽  
Gamma Knife Radiosurgery ◽  
Pain Syndrome ◽  
Cost Effective ◽  
Decompression Surgery ◽  
Pain Pathways ◽  
Microvascular Decompression Surgery

Surgical treatment of intractable neuropathic pain has evolved significantly during the past few decades. Early treatments focus on neuroablation of the pain pathways. Although these techniques still have a role in specific indications, they have largely fallen out of favor due to causing irreversible destructive damage to the brain and/or spinal cord. Spinal cord stimulation, peripheral nerve stimulation, and intrathecal drug delivery system using programmable pump have become more popular treatment options for patients who do not respond to pharmaceutical and interventional procedures. These methods have reasonable safety profiles and can be efficacious and cost-effective, especially for patients with failed back surgical syndrome and complex regional pain syndrome. Deep brain stimulation and motor cortex stimulation are options for central pain. Microvascular decompression surgery and Gamma Knife radiosurgery are excellent options in selected patients with refractory trigeminal neuralgia or glossopharyngeal neuralgia.

“Proximalization is Advancement”—Zone 3 Frozen Elephant Trunk vs Zone 2 Frozen Elephant Trunk: A Literature Review

2021 ◽  
pp. 153857442110024
Author(s):  
Rozina Yasmin Choudhury ◽  
Kamran Basharat ◽  
Syeda Anum Zahra ◽  
Tien Tran ◽  
Lara Rimmer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Treatment ◽  
Literature Review ◽  
Treatment Options ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Descending Aorta ◽  
Cord Injury ◽  
Aortic Pathologies

Over the decades, the Frozen Elephant Trunk (FET) technique has gained immense popularity allowing simplified treatment of complex aortic pathologies. FET is frequently used to treat aortic conditions involving the distal aortic arch and the proximal descending aorta in a single stage. Surgical preference has recently changed from FET procedures being performed at Zone 3 to Zone 2. There are several advantages of Zone 2 FET over Zone 3 FET including reduction in spinal cord injury, visceral ischemia, neurological and cardiovascular sequelae. In addition, Zone 2 FET is a technically less complicated procedure. Literature on the comparison between Zone 3 and Zone 2 FET is scarce and primarily observational and anecdotal. Therefore, further research is warranted in this paradigm to substantiate current surgical treatment options for complex aortic pathologies. In this review, we explore literature surrounding FET and the reasons for the shift in surgical preference from Zone 3 to Zone 2.

scholarly journals The Investigation and Management of Adenomyosis in Women Who Wish to Improve or Preserve Fertility

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Jin-Jiao Li ◽  
Jacqueline P. W. Chung ◽  
Sha Wang ◽  
Tin-Chiu Li ◽  
Hua Duan
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Treatment Options ◽  
Management Strategies ◽  
Definitive Treatment ◽  
Surgical Approaches ◽  
Child Bearing ◽  
Fertility Sparing

The management of adenomyosis remains a great challenge to practicing gynaecologists. Until recently, hysterectomy has been the only definitive treatment in women who have completed child bearing. A number of nonsurgical and minimally invasive, fertility-sparing surgical treatment options have recently been developed. This review focuses on three aspects of management, namely, (1) newly introduced nonsurgical treatments; (2) management strategies of reproductive failures associated with adenomyosis; and (3) surgical approaches to the management of cystic adenomyoma.

Surgical Treatment Options of Breast Cancer-Related Lymphedema

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Summer E. Hanson ◽  
Carrie K. Chu ◽  
Edward I. Chang
Keyword(s):  
Breast Cancer ◽  
Surgical Treatment ◽  
Treatment Options ◽  
Breast Cancer Related Lymphedema

Surgical Treatment Options for Unstable Mallet Fractures

2011 ◽  
Vol 128 (2) ◽  
pp. 599-600 ◽  
Author(s):  
Stefano Lucchina ◽  
Alejandro Badia ◽  
Alexandru Nistor ◽  
Cesare Fusetti
Keyword(s):  
Surgical Treatment ◽  
Treatment Options

scholarly journals Aneurysmal degeneration of blalock-taussig shunts: Identification and surgical treatment options

1984 ◽  
Vol 3 (5) ◽  
pp. 1277-1281 ◽  
Author(s):  
William C. Scott ◽  
Hong-Xu Zhao ◽  
Margaret Allen ◽  
Ducksoo Kim ◽  
D. Craig Miller
Keyword(s):  
Surgical Treatment ◽  
Treatment Options

Midcarpal instability

2015 ◽  
Vol 41 (1) ◽  
pp. 86-93 ◽  
Author(s):  
D. G. Hargreaves
Keyword(s):  
Surgical Treatment ◽  
Treatment Options ◽  
Case Series ◽  
Definite Diagnosis ◽  
Stress Tests ◽  
Functional Instability ◽  
Painful Wrist ◽  
Relative Rarity ◽  
Passive Stress

Midcarpal instability is a collective term for a number of conditions where the instability of the wrist is predominantly between the proximal and distal carpal rows. It has been regarded as relatively rare and infrequently requires surgical treatment. Palmar midcarpal instability is the most commonly found type of midcarpal instability and can be responsible for causing a clunking and painful wrist. The diagnosis is made on clinical grounds using the midcarpal instability provocative tests. Standard imaging and arthroscopic inspection do not usually confirm a definite diagnosis, but are important in excluding other pathologies. The classification and staging has been described using the extent of palmar translocation of the distal carpal row, which is elicited on passive stress tests. As this is a functional instability, it may be that a functional staging description might be better, and a proposed scheme is described. Treatment options including partial wrist fusions, tenodesis stabilizations and arthroscopic capsular shrinkage have been described in small case series with limited follow-up. There are no comparative series or randomized studies because of the relative rarity of this condition.

Sign in / Sign up

Export Citation Format

Share Document