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Acta Neurochirurgica

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25.11.2017 | Case Report - Vascular

Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia

verfasst von: Valentina Simioni, J. G. Capone, E. Sette, E. Granieri, M. Farneti, M. A. Cavallo, V. Tugnoli

Erschienen in: Acta Neurochirurgica | Ausgabe 1/2018

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Abstract

Intraoperative monitoring during cerebellopontine angle surgery is widely accepted. While techniques which monitor cranial motor nerves are commonly used, monitoring the sensory afferents has been challenging. Considering the reflex arc, blink reflex (BR) might be useful in monitoring the sensory part of the trigeminal nerve, the brainstem connections and the facial nerve. We describe the case of a patient who developed hemifacial hypoesthesia after microvascular decompression surgery for trigeminal neuralgia. Intraoperative BR showed a severe loss of R1 amplitude. BR might be a useful intraoperative technique to monitor the sensory part of the trigeminal nerve.

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Titel: Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia
verfasst von: Valentina Simioni
J. G. Capone
E. Sette
E. Granieri
M. Farneti
M. A. Cavallo
V. Tugnoli
Publikationsdatum: 25.11.2017
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 1/2018
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3405-8

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Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia

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