Richards P, Shawdon H, Illingworth R
J Neurol Neurosurg Psychiatry. 1983 Dec;46(12):1098-101. doi: 10.1136/jnnp.46.12.1098.
The anatomical findings in 52 patients undergoing posterior fossa exploration for idiopathic trigeminal neuralgia are described. Anatomical abnormalities in the cerebello-pontine angle were found in 46. The commonest was an arterial loop indenting or distorting the nerve at the root entry zone. In view of this the operative procedure has been changed from root section to microvascular decompression.
描述了52例因特发性三叉神经痛接受后颅窝探查患者的解剖学发现。46例发现桥小脑角存在解剖学异常。最常见的是动脉襻在神经根入区压迫或扭曲神经。鉴于此,手术方式已从神经根切断术改为微血管减压术。