• Various treatment modalities have been used to treat TN, including pharmacotherapy, stereotactic radiosurgery, suboccipital craniotomy with microvascular decompression (MVD) or partial sensory rhizotomy (PSR), and percutaneous procedures such as glycerol rhizotomy, balloon microcompression or radiofrequency rhizotomy [ 1 , 2 ]. (e-jyms.org)
  • Today, targeted radiation (gamma-knife), open endoscopic, and several variations of percutaneous surgery are performed. (scirp.org)
  • Open surgery is directed at relieving vascular compression of the nerve, whereas gamma-knife and percutaneous surgery are aimed at nerve destruction. (scirp.org)
  • Pain procedures include microvascular decompressions, percutaneous rhizotomies, and radiosurgery lesioning. (utah.edu)
  • Among the patients who were operated on by our team, the mean interval from diagnosis to surgery was 8.2 years, and more than half of them learned of the possibility of surgical treatment only through a personal search for information on the condition. (aerzteblatt.de)
  • Microvascular decompression (MVD) is the most widely used surgical treatment for TN. (e-jyms.org)
  • Clinical, radiological and surgical data of the patients were collected to demonstrate atypical presentations of shunt malfunction. (bemsreports.org)
  • On the Surgical Implications of Peritrigeminal Perforating Vessels in Microvascular Decompression. (cornell.edu)
  • Dr. Liu's research is focused on the development of innovative and novel skull base and endoscopic techniques, quantitative surgical neuroanatomy, microsurgical and microvascular anastomosis skills training, virtual surgical simulation, pituitary tumor biology, and clinical outcomes after skull base and cerebrovascular surgery. (cushieblogger.com)
  • Technological advances in endoscopic surgery and image guidance are now allowing for purely endoscopic surgical treatment of previously unresectable lesions with acceptable morbidity. (upmc.com)
  • This new edition is in full color and includes the following sections: Anatomic and Physiologic Foundations for Nociceptive and Neuropathic Pain, Pain Medicine, Pain Diagnoses, Surgical Procedures for Pain, and New Directions for Pain Surgery. (bookbaz.ir)
  • Monitoring of complications after endoscopic skull base surgery is necessary in order to standardize protocols of management and improve our surgical techniques. (neurosurgery.directory)
  • The authors sought to develop a more automated tool to calculate the 3D posterior fossa volume, and correlate its changes after decompression with surgical outcomes. (neurosurgery-blog.com)
  • After completing a neurosurgery residency at the University of Utah in Salt Lake City, he was awarded the Dandy Clinical Fellowship by the Congress of Neurological Surgeons, and obtained advanced fellowship training in Skull Base, Cerebrovascular Surgery & Neuro-oncology at the Oregon Health & Science University in Portland. (cushieblogger.com)
  • Dr. Knopman has been awarded the prestigious CNS/Micrus Endovascular Neurosurgery grant, and from 2014 to 2017 he held the Leonard and Fleur Harlan Clinical Scholarship for his research in vascular disease. (superdoctors.com)
  • Daniel Yoshor, MD, Chair of Neurosurgery and Vice President of Clinical Integration and Innovation at Penn Medicine, provides a look into the clinical expertise and cutting edge research taking place at Penn Neurosurgery. (pennmedicine.org)
  • Daniel Yoshor, MD, the new Chair of Neurosurgery and Vice President of Clinical Integration and Innovation at Penn Medicine, discusses his research in methods to restore sight to the blind and his thoughts for the future of Penn Neurosurgery. (pennmedicine.org)
  • 10 clinics specializing in Neurosurgery and Orthopedic surgery providing treatment of Brachial plexus injury Brachial plexus injury refers to damage to the network of nerves that control the movement and sensation in the arm and hand. (doctor.global)
  • The Functional Neurosurgery fellow receives a broad exposure to and valuable experience with all aspects of functional and stereotactic neurosurgery procedures, including movement disorder, pain, and epilepsy surgeries. (utah.edu)
  • The fellow will participate in the Neurology DBS and movement disorders clinic, Movement Disorders Conference, Comprehensive Epilepsy Surgery Conference, Ad hoc Intervention Psychiatry Conference, University of Utah Epilepsy Symposium, Functional Neurosurgery Journal Club, and Human Neuromodulation Lab meetings. (utah.edu)
  • He serves as the editorial board member of many academic journals, including "Chinese Journal of Neurosurgery", "Chinese Journal of Neurological Diseases", "Chinese Journal of Minimally Invasive Neurosurgery", "Journal of Clinical Neurosurgery", etc. (icpn.org.cn)
  • MBBS, DNB (Neurosurgery), Fellowship in Full Endoscopic Spine Surgery, Academic Visitor - Full Endoscopic Spine Surgery(Germany). (alexishospital.com)
  • In his 8 years of experience in the field of Neurosurgery he has performed about 800 brain and spine surgeries and was a part of more than 1700 different surgeries. (alexishospital.com)
  • Dr. James K. Liu is the Director of Cerebrovascular, Skull Base and Pituitary Surgery at the Rutgers Neurological Institute of New Jersey, and Professor of Neurological Surgery at Rutgers University, New Jersey Medical School. (cushieblogger.com)
  • He is board certified by the American Board of Neurological Surgery, and has a robust pituitary tumor practice at University Hospital and Saint Barnabas Medical Center. (cushieblogger.com)
  • After receiving his medical degree from Columbia University's College of Physicians and Surgeons, Dr. Merkow, completed a seven-year residency in neurological surgery at the University of Pennsylvania. (basscancercenter.com)
  • Stereotactic radiosurgery, such as Gamma Knife or CyberKnife, can be used to target the affected nerve without invasive surgery. (santripty.com)
  • Dr. Merkow treats Parkinson's disease and essential tremor with deep brain stimulation devices, and he alleviates facial pain via microvascular decompression and stereotactic radiosurgery. (basscancercenter.com)
  • Comparative analysis of endoscopic assisted and purely microvascular decompression for posterior fossa cranial nerves. (osu.edu)
  • Microvascular Decompression (MVD) offers effective, long-term symptom relief for patients with pathologies related to neurovascular conflicts of cranial nerves in the posterior fossa. (heraldopenaccess.us)
  • CONCLUSIONS A greater increase in the postoperative PCF volume, and specifically an increase in the cisterna magna volume, was associated with a greater likelihood of clinical improvements in headache and tonsillar descent in patients with CM-I. Larger increases in the caudal portion of the posterior fossa volume were also associated with a greater likelihood of improvement in syrinx and cervicomedullary kinking. (neurosurgery-blog.com)
  • Evaluation of multimodal intraoperative neurophysiologic monitoring during supratentorial aneurysm surgery: a comparative study. (neurologicsbcn.com)
  • The second surgery revealed that the sponge had become fragile, losing the ability to absorb the impact of pulsatile compression of the offending artery on the root exit zone of her facial nerve. (surgicalneurologyint.com)
  • In severe cases, when pain is difficult to treat, surgery to take pressure off the glossopharyngeal nerve may be needed. (medlineplus.gov)
  • Microvascular compression of the vestibulocochlear nerve by AICA is an important etiology for tinnitus, hearing loss and vertigo. (ijorl.com)
  • MøllerMB, Møller AR, Jannetta PJ, Jho HD, Sekhar LN. Microvascular decompression of the eighth nerve in patients with disabling positional vertigo: selection criteria and operative results in 207 patients. (ijorl.com)
  • An improvement in dysfunctional hyperactivity of the 8th cranial nerve was detected after microvascular decompression, which favored relation to the existence of a vascular loop [ 2 , 9 ]. (springeropen.com)
  • Optic nerve decompression surgery (also known as optic nerve sheath decompression surgery) involves cutting slits or a window in the optic nerve sheath to allow cerebrospinal fluid to escape, thereby reducing the pressure around the optic nerve. (aetna.com)
  • Initial results of uncontrolled studies suggested that optic nerve sheath decompression was a promising treatment of progressive visual loss in patients with NAION. (aetna.com)
  • To resolve the controversy over the effectiveness of optic nerve decompression for NAION, the National Eye Institute sponsored the Ischemic Optic Neuropathy Decompression Trial, a multicenter, randomized controlled clinical trial of optic nerve decompression surgery for patients with NAION. (aetna.com)
  • The investigators concluded that optic nerve decompression surgery is not an effective treatment for NAION, and in fact, may increase the risk of progressive visual loss in NAION patients. (aetna.com)
  • A structured evidence review (Dickersin and Manheimer, 2002) concluded that "[r]esults from the Ischemic Optic Neuropathy Decompression Trial indicate that optic nerve decompression surgery for nonarteritic ischemic optic neuropathy is not effective. (aetna.com)
  • A Cochrane review (Dickersin et al, 2012) concluded that results from the single trial indicate no evidence of a beneficial effect of optic nerve decompression surgery for NAION. (aetna.com)
  • The surgery involves microvascular decompression of the vessel near the brainstem to relieve pressure on the facial nerve. (asoprs.org)
  • In the long term, however, lasting relief can only be achieved by microvascular decompression, a microsurgical intervention with a relatively low risk and a high success rate. (aerzteblatt.de)
  • quadruple minimally invasive surgery for ankylosing spondylitis and spinal cord, microsurgical treatment for congenital diseases, treatment of severe craniocerebral injury, neck, shoulder, and lumbago. (icpn.org.cn)
  • These efforts are centered on improving surgery for patients with epilepsy and brain tumors, particularly those whose pathology is intimately involved with critical brain regions. (dana-farber.org)
  • Although the outcomes of PSR were not as favorable as those of pure MVD in this study, PSR can be considered in cases where there is no significant vascular compressive lesion or uncertainty of the causative vessel at the surgery. (e-jyms.org)
  • After confirmation of the vascular pathology of AICA, surgery is usually planned. (ijorl.com)
  • The objective of this review article is to discuss the details of vascular anatomy, etiopathology, clinical presentations, diagnosis, neurophysiology and current treatment of the vascular anomalies of AICA in IAC which often pose challenge to the clinicians. (ijorl.com)
  • In: Clinical vascular anatomy and variations. (ijorl.com)
  • Effects of bariatric surgery on blood and vascular large extracellular vesicles according to type 2 diabetes status. (medscape.com)
  • He translates basic neuroscience into novel brain surgery techniques with clinical applications via small pilot studies looking at feasibility and initial clinical results. (wikipedia.org)
  • In addition, he is the Principal Investigator at Weill/Cornell of an NIH-funded study utilizing topical antibiotics to lower the risk of infection after brain surgery. (superdoctors.com)
  • Dr. Lim's clinical interests include the treatment of benign and malignant brain tumors, with special interest in gliomas, meningiomas, metastatic tumors, and skull base tumors. (stanfordhealthcare.org)
  • He has successfully translated his findings from the laboratory to the clinics and has conducted and led several large national immunotherapy clinical trials for brain tumors. (stanfordhealthcare.org)
  • In addition to being invited world-wide to give lectures and seminars, he has given platform presentations on the topics of immunotherapy for brain tumors, neurosurgical techniques and management of brain tumors at the American Society of Clinical Oncologists, American Academy of Neurological Surgeons, Radiological Society of North America, Annual Symposium on Brain and Spine Metastases, Congress of Neurological Surgeons, and other meetings. (stanfordhealthcare.org)
  • The Golby Lab is funded by the Brain Science Foundation, The Klarman Family Foundation, CIMIT Harvard Catalyst, and the National Institutes of Health, allowing her to assemble a team of extraordinary scientists from different backgrounds, working collaboratively to advance the field of image-guided surgery and functional brain imaging. (dana-farber.org)
  • Penn Medicine's John Y.K. Lee, MD, MSCE, discusses TumorGlow™ Second Window ICG in Brain Tumors at the Precision Surgery Intraoperative Molecular Imaging 2022 conference. (pennmedicine.org)
  • Four patients (14%) who underwent operations elsewhere had incorrect cranial nerves decompressed at their first surgery. (thejns.org)
  • Peter Jannetta demonstrated the efficacy of Microvascular Decompression (MVD) in 1967 [4]. (heraldopenaccess.us)
  • HPT was first used to fix unstable cervical vertebra segments in 1959, and gradually applied in the treatment of scoliosis (scoliosis or kyphosis Angle greater than 90 degrees is usually considered as severe scoliosis), with favorable efficacy and safety profile, and thus widely used in clinical practice (Clin Orthop Relat Res, 1973;93:179). (bvsalud.org)
  • There are various nonspecific dopamine D 2 receptor antagonists that show good clinical efficacy in migraine, and also a number of polymorphisms of dopaminergic genes related to migraine. (baillement.com)
  • Development of standardized pain management and enhanced recovery after surgery (ERAS) protocols are necessary and crucial to optimize outcomes and patient satisfaction and reduce health care costs. (surgicalneurologyint.com)
  • 2019. Spinal alignment, surgery, and outcomes in cervical deformity: A practical guide to aid the spine surgeon . (cornell.edu)
  • 2019. Ten-year Outcomes of Cervical Disc Replacement With the BRYAN Cervical Disc: Results From a Prospective, Randomized, Controlled Clinical Trial. . (cornell.edu)
  • At this point, she was eager to undergo decompression surgery again, even if it was only for inspection. (surgicalneurologyint.com)
  • Patients with trigeminal neuralgia (TN) and persistent or recurrent facial pain after microvascular decompression (MVD) typically undergo less invasive procedures in the hope of providing pain relief. (thejns.org)
  • Experience would indicate that medical management eventually fails in most patients with TN, and those patients undergo surgery. (medscape.com)
  • Professor Liu specialized in the basic and clinical treatment of cerebral and spinal cord diseases in the craniocervical junction area, such as minimally invasive surgery of syringomyelia and Arnold-Chiari. (icpn.org.cn)
  • A points based algorithm for prognosticating clinical outcome of chiari malformation Type1 with syringomyelia:results from a predictive model analysis of 82 surgically managed adult patient. (alexishospital.com)
  • The project involves a multidisciplinary team, starts with process mapping, a review of the evidence supporting each care item and ends with consensus for a consistent clinical approach. (surgicalneurologyint.com)
  • Diagnosing neurovascular conflict typically involves a combination of clinical assessment, imaging studies, and patient history. (santripty.com)
  • Patients should be offered surgery if pain is not sufficiently controlled medically or if medical treatment is poorly tolerated. (medscape.com)
  • In patients with classical TN, microvascular decompression is recommended as first-line surgery. (medscape.com)
  • A total of 215 consecutive MVD operations by a single surgeon between March 1996 and May 2016 were reviewed with 192 surgeries on 183 patients meeting inclusion criteria. (heraldopenaccess.us)
  • A total of 88 patients underwent for TN underwent surgery at our hospital. (e-jyms.org)
  • The medical records of these patients were retrospectively analyzed for patient characteristics, clinical results, offending vessels, and complications if any. (e-jyms.org)
  • Surgeries were performed in patients with typical TN who did not respond to other treatments. (e-jyms.org)
  • Eighty-eight patients underwent 89 surgeries because one patient underwent reoperation. (e-jyms.org)
  • However, the relationship between 5-HT and patients experiencing PONV after MVD surgery is still unknown. (bvsalud.org)
  • OBJECTIVE: Postoperative pulmonary complications (PPCs) seriously harm the recovery and prognosis of patients undergoing surgery. (bvsalud.org)
  • in fact, significantly more patients in the surgery group had progressive loss of vision than patients who received only careful follow-up. (aetna.com)
  • An excellent facial pain outcome (no pain, no medications required) was achieved and maintained for 80% and 75% of patients at 1 and 3 years after surgery, respectively. (thejns.org)
  • Two patients (7%) had hearing loss after surgery. (thejns.org)
  • Patients with persistent or recurrent TN should be considered for repeat PFE, especially if other less invasive surgeries have not relieved their facial pain. (thejns.org)
  • He aims to maximize function, avoid surgery when possible, and to minimize recovery time so that his patients get back to their activities as quickly as possible. (basscancercenter.com)
  • This surgery is successful for some but not all patients. (asoprs.org)
  • Many patients still require botulinum toxin injections after myectomy surgery. (asoprs.org)
  • With a legacy of putting patients first, Weill Cornell Medicine is committed to providing exemplary and individualized clinical care, making groundbreaking biomedical discoveries, and educating generations of exceptional doctors and scientists. (cornell.edu)
  • For patients in whom medical therapy has failed, surgery is a viable and effective option. (medscape.com)
  • Among patients who develop TN when younger than 60 years, surgery is the definitive treatment. (medscape.com)
  • Thus, many patients eventually restart pain medication after surgery. (medscape.com)
  • Microvascular decompression (MVD) offers long-term relief in classical TN for approximately 62% - 89% of patients. (asra.com)
  • Between March 2018 and November 2022, 41 patients who experienced intraoperative high - flow CSF leakage following endoscopic endonasal surgery at two independent tertiary institution s were enrolled. (neurosurgery.directory)
  • A randomized clinical trial of intravenous methylprednisolone with two protocols in patients with Graves' Orbitopathy. (medscape.com)
  • In addition to established symptomatic treatment in the shape of local injections of botulinum toxin, we will focus in particular on the option of microvascular decompression, since this currently still represents the only long-term and causal therapeutic option. (aerzteblatt.de)
  • In this review of the comprehensive adult spinal deformity program at the Penn Spine Center, Drs. Vincent Arlet and Ali Ozturk discuss the management of scoliosis and kyphosis, a consideration that includes nonoperative treatment, pain management, and surgery. (pennmedicine.org)
  • Distal aneurysms of cerebellar arteries: Incidence, clinical presentation, and outcome of endovascular parent vessel occlusion. (ijorl.com)
  • Surgery for HFS may be contemplated if an aberrant blood vessel is found to be the cause. (asoprs.org)
  • Over time, these medications may lose their effectiveness, at which point your doctor may recommend surgery. (neurology-clinics.com)
  • Although specific treatments are available for many craniofacial movement disorders, botulinum toxin (BTX) chemodenervation has proven useful in many of these disorders, supplanting surgery and medical therapy. (medscape.com)
  • Surgery may be recommended for BEB if botulinum toxin therapy is not successful. (asoprs.org)
  • We aimed to determine the frequency of neurotologic complications following this surgery. (heraldopenaccess.us)
  • 2019. Technological and Ideological Innovations in Endoscopic Skull Base Surgery. . (cornell.edu)
  • He has taught many hands-on cadaver dissection courses in skull base surgery and has lectured extensively nationally and internationally throughout North America, Latin America, Europe, and Asia. (cushieblogger.com)
  • Cerebrospinal fluid leakage after endoscopic skull base surgery remains a challenge despite multilayer reconstruction including nasoseptal flap (NSF) has become a standard technique . (neurosurgery.directory)
  • Award for "Best Paper Presentation" at Annual conference of Skull Base Surgery Society of India (2019, Coimbatore). (alexishospital.com)
  • Importantly, there can be differences in clinical symptoms, particularly with regard to pain. (stanford.edu)
  • Neurovascular decompression: the procedure of choice? (thejns.org)
  • Movement disorder surgery will include focused ultrasound, MRI-guided asleep DBS, awake DBS with microelectrode recording, and radiofrequency lesioning. (utah.edu)
  • 2019. Symptomatic Adjacent Level Disease Requiring Surgery: Analysis of 10-Year Results From a Prospective, Randomized, Clinical Trial Comparing Cervical Disc Arthroplasty to Anterior Cervical Fusion. . (cornell.edu)
  • For more Clinical Practice Guidelines, go to Guidelines . (medscape.com)
  • His robust clinical practice encompasses both traditional open and minimally invasive endoscopic endonasal skull base approaches. (cushieblogger.com)
  • The mission of ASOPRS is to advance education, research, and the quality of clinical practice in the fields of aesthetic, plastic and reconstructive surgery specializing in the face, orbits, eyelids and lacrimal system. (asoprs.org)
  • 100 ] Preoperative interventions aim at optimizing the patient for surgery, including patient education, risk assessment, and medication. (surgicalneurologyint.com)
  • Is metabolic and bariatric surgery a safe and effective therapeutic option for adolescents with severe obesity? (medscape.com)
  • Technique s to prevent postoperative cerebrospinal fluid fistula remain controversial in transsphenoidal surgery . (neurosurgery.directory)
  • It was used for closure of a CSF fistula in endonasal transsphenoidal surgery. (neurosurgery.directory)
  • Primary closure of the fistula using the VCS was an effective strategy to prevent postoperative CSF leakage in transsphenoidal surgery. (neurosurgery.directory)