Author(s)
Ahmad G Khatib, MD
Rafael T Tatit, MD
Krishnan Ravindran, MD
Rabih G Tawk, MD
Affiliation(s)
Mayo Clinic
Abstract:
Trigeminal neuralgia (TN) is a chronic facial pain disorder marked by electric shock-like pain. Rarely, a dolichoectatic vertebrobasilar artery compresses the trigeminal nerve root entry zone, causing refractory TN. Macrovascular decompression with sling transposition is a key surgical approach. We present a 63-year-old man with 4 years of progressive right-sided facial pain. This report reviews clinical findings, operative technique, and offers technical pearls for successful decompression.