Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-11T13:18:02.616Z Has data issue: false hasContentIssue false
  • English
  • Français

Microvascular decompression may be an effective treatment for nervus intermedius neuralgia

Published online by Cambridge University Press:  12 January 2011

S J F Saers ,
K S Han  and
J A de Ru
S J F Saers
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Central Military Hospital, Utrecht, The Netherlands
K S Han
Affiliation:
Department of Neurosurgery, University Medical Center Utrecht, The Netherlands
J A de Ru*
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Central Military Hospital, Utrecht, The Netherlands
*
Address for correspondence: KTZAR Dr J A de Ru, Department of Otorhinolaryngology – Head Neck Surgery, Central Military Hospital Utrecht, Lundlaan 1, 3584 EZ Utrecht, The Netherlands Fax: 0031 (0)302502240 E-mail: J.A.deRu@UMCUtrecht.nl
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To report microvascular decompression as a possible effective treatment for patients with nervus intermedius neuralgia, and to contribute to the literature regarding both this syndrome and this specific form of treatment.

Method:

Case report of a patient with intermedius neuralgia. The main complaint was severe otalgia in the area innervated by the nervus intermedius, possibly caused by neurovascular compression of the nervus intermedius by the anterior inferior cerebellar artery. Microvascular decompression was undertaken, with good results.

Results:

Post-operatively, the patient felt immediate and total relief of her otalgia, with normal facial nerve function and no otological morbidity. One year post-operatively, she was still free from otalgia.

Conclusion:

Patients with nervus intermedius neuralgia who do not respond to medical treatment may benefit from microvascular decompression.

Keywords

NeuralgiaFacial NerveSurgeryNervus Intermedius
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 520 - 522
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Pulec, JL. Geniculate neuralgia: long-term results of surgical treatment. Ear Nose Throat J 2002;81:30–3CrossRefGoogle ScholarPubMed
2Lovely, TJ, Jannetta, PJ. Surgical management of geniculate neuralgia. Am J Otol 1997;18:512–17Google ScholarPubMed
3Rupa, V, Saunders, RL, Dudley, JW. Geniculate neuralgia: the surgical management of primary otalgia. J Neurosurg 1991;75:505–11CrossRefGoogle ScholarPubMed
4McQuay, H, Carroll, D, Jadad, AR, Wiffen, P, Moore, A. Anticonvulsant drugs for management of pain: a systematic review. BMJ 1995;311:1047–52CrossRefGoogle ScholarPubMed
5Kabatas, S, Albayrak, B, Cansever, T, Hepgul, KT. Microvascular decompression as a surgical management for trigeminal neuralgia: a critical review of the literature. Neurology India 2009;57:134–8CrossRefGoogle ScholarPubMed
6Barker, FG 2nd, Jannetta, PJ, Bissonette, DJ, Larkins, MV, Jho, HD. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 1996;334:1077–83CrossRefGoogle ScholarPubMed
7Olson, S, Atkinson, L, Weidmann, M. Microvascular decompression for trigeminal neuralgia: recurrences and complications. J Clin Neurosci 2005;12:787–9CrossRefGoogle ScholarPubMed
8Samii, M, Günther, T, Iaconetta, G, Muehling, M, Vorkapic, P, Samii, A. Microvascular decompression to treat hemifacial spasm: long-term results for a consecutive series of 143 patients. Neurosurgery 2002;50:712–18CrossRefGoogle ScholarPubMed
9Patel, A, Kassam, A, Horowitz, M, Chang, YP. Microvascular decompression in the management of glossopharyngeal neuralgia: analysis of 217 cases. Neurosurg 2002;50:705–10CrossRefGoogle ScholarPubMed
10Sunderland, S. Microvascular relations and anomalies at the base of the brain. J Neurol Neurosurg Psychiatry 1948;11:243–57CrossRefGoogle Scholar
11De Ridder, D, Moller, A, Verlooy, J, Cornelissen, M, De Ridder, L. Is the root entry/exit zone important in microvascular compression syndromes? Neurosurg 2002;51:427–34CrossRefGoogle ScholarPubMed
12Yap, L, Pothula, VB, Lesser, T. Microvascular decompression of the cochleovestibular nerve. Eur Arch Otorhinolaryngol 2008;265:861–9CrossRefGoogle ScholarPubMed
13Adler, CH, Bernardi, B, Bosley, TM, Savino, PJ, Sergott, RC, Zimmerman, RA. Hemifacial spasm: evaluation by magnetic resonance imaging and magnetic resonance tomographic angiography. Ann Neurol 1992;32:502–6CrossRefGoogle ScholarPubMed
14Bernardi, B, Adler, C, Savino, PJ, Zimmerman, RA. Magnetic resonance tomographic angiography in the investigation of hemifacial spasm. Neuroradiology 1993;35:606–11CrossRefGoogle ScholarPubMed
15Furuya, Y, Ryu, H, Uemura, K, Sugiyama, K, Isoda, H, Hasegawa, S et al. MRI of intracranial neurovascular compression. J Comput Assisted Tomogr 1992;16:503–5CrossRefGoogle ScholarPubMed
16Meaney, JF, Dunn, LT, Eldridge, PR, Miles, JB, Nixon, TE, Whitehouse, GH. Demonstration of neurovascular compression in trigeminal neuralgia with magnetic resonance imaging. Comparison with surgical findings in 52 consecutive operative cases. J Neurosurg 1995;83:799–805CrossRefGoogle ScholarPubMed
17Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004;24(Suppl 1):9–160Google Scholar