During radiofrequency rhizotomy, electrode depth determines which divisions of the trigeminal nerve will be contacted. V3 is contacted if the electrode is 5mm proximal to the clivus, V2 at the clivus, and V1 when the electrode is 5mm distal to the clivus.
https://t.co/CLrG5es7fx

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Painting for a trigeminal neuralgia project

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For microvascular decompression for trigeminal neuralgia, I specifically insert a piece of shredded Teflon along the shoulder & medial axilla of the nerve & gently push it distally to prevent contact between the vessel & the root entry zone or brainstem

https://t.co/Km71G4zbW8

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During microvascular decompression for trigeminal neuralgia, careful arachnoid dissection and correct CN identification are paramount. Care must be taken to preserve all of the vessels around the brainstem.

https://t.co/Km71G4zbW8

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Steps for resection of an anterior pontine AVM. Anterolateral view, AVM is medial to the trigeminal nerve, with arterial feeders from the basilar artery, superior cerebellar artery, and anterior inferior cerebellar artery.

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Spell gone wrong! 34m of silliness for while coming down from a nasty flare-up of trigeminal neuralgia. Can I be a frog too? I bet they don’t even HAVE a trigeminal nerve. 😑
Timelapse at https://t.co/sc4uu2fvb0 💜

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American neurosurgeon Peter Jannetta (1932-2016) was dissecting cranial nerves in the lab when he noticed a blood vessel pressing on a nerve. This led to a microvascular decompression operation for the treatment of trigeminal neuralgia and other vascular compression syndromes!

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Neurovascular conflict for cranial nerve compression syndromes can include arteries and veins. Which artery is the most common culprit in trigeminal neuralgia? What about in hemifacial spasm?



https://t.co/dkhLkZZdoE

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Blue arrow demonstrates the supralateral cerebellar approach for microvascular decompression for trigeminal neuralgia. Green arrow demonstrates the infralateral cerebellar or infrafloccular approach for hemifacial spasm.



https://t.co/IeKulKlHtr

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: pay active attention to the smaller orbital structures, such as the frontal and nasociliary nerve branches of the first trigeminal branch (V1) as in this malignant peripheral nerve sheath tumour.

https://t.co/ThUr3LXdSC

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Variations of neurovascular conflict leading to trigeminal neuralgia
https://t.co/Km71G4zbW8

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The Tegretol my wife takes for Trigeminal neuralgia is losing effectiveness... :(
Hoping the experts can help.

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Microvascular Decompression for Trigeminal Neuralgia https://t.co/Km71G4zbW8

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Microvascular decompression of a C-2 segmental-type vertebral artery producing trigeminal hypesthesia - Available… https://t.co/fyVRv1wYvH

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A photo of one of Dr. Harvey Cushing's patients with trigeminal neuralgia (tic douloureux) and some of his sketches of his surgical approach

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.art A collaborative project with my talented classmates Jerry and Dani! Yay trigeminal nerves! .… https://t.co/2BlewbaYxT

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Conceptual POV inside the pituitary framed by brainstem, cranial nerves, trigeminal nerve, cerebrum. Only possible with

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Dissection of the eyes & skull showing the optic & trigeminal nerves.'System of Anatomical Plates', John Lizars, 1825

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