caa a22 4500 60621495X CHVBK 20210128101056.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00701-014-2330-3 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2330-3 Trigeminal neuralgia due to neurovascular conflicts from venous origin: an anatomical-surgical study (consecutive series of 124 operated cases) [Elektronische Daten] [Chloé Dumot, Marc Sindou] Background: Veins as the source of trigeminal neuralgias (TN) lead to controversies. Only a few studies have specifically dealt with venous implication in neurovascular conflicts (NVC). The aim of this study was the anatomical-surgical description of the compressive veins found during micro-vascular decompression (MVD). Methods: Patients retained were those in whom a vein was considered compressive, alone, or in association with an artery. The study defined the type of vein involved, its situation along, the location around the root, and management. For this study, denomination of veins in relation with the root was revisited. Results: Of the 326 consecutive patients who underwent MVD from 2005 to 2013, 124 (38.0%) had a venous conflict, alone in 29 (8.9%), or in association with an artery in 95 (29.1%). The compressive veins belonged to one of the two venous systems described: the superficial or the deep superior petrosal venous system (sSPVS or dSPVS). A vein from sSPVS was found compressive in 81 cases (59.6%), for the major part it was the pontine affluent of the superior petrosal vein (48 cases). The conflict was situated at TREZ in 28.4%, mid-cisternal portion in 50.6%, and porus in 8.6%. The dSPVS was found compressive in 55 cases (40.4%), almost always a transverse vein at porus (51 cases). Decompression was coagulation-division of the conflicting vein in 36.8% and simple cleavage in the other. Conclusions: The study shows the frequent implication of veins in NVC as the source of TN. NVC are not only at TREZ but also at mid-cisternal portion and porus of Meckel cave. Springer-Verlag Wien, 2015 Trigeminal neuralgia nationallicence Neurovascular conflict nationallicence Neurovascular compression nationallicence Microvascular decompression nationallicence Veins of posterior fossa nationallicence Superior petrosal vein nationallicence Dumot Chloé Department of Neurosurgery, University of Lyon 1 Hôpital Neurologique "P. Wertheimer”, Lyon, France aut Sindou Marc Department of Neurosurgery, University of Lyon 1 Hôpital Neurologique "P. Wertheimer”, Lyon, France aut Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 455-466 0001-6268 157:3<455 2015 157 701 https://doi.org/10.1007/s00701-014-2330-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2330-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dumot Chloé Department of Neurosurgery, University of Lyon 1 Hôpital Neurologique "P. Wertheimer”, Lyon, France aut NATIONALLICENCE 700 1- Sindou Marc Department of Neurosurgery, University of Lyon 1 Hôpital Neurologique "P. Wertheimer”, Lyon, France aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 455-466 0001-6268 157:3<455 2015 157 701