Transposition of the Vertebral Artery With Fibrin Glue Adhesive in Microvascular Decompression: A Case Report

A 70-year-old male had suffered from left trigeminal neuralgia, and magnetic resonance images showed that the left dolichoectatic vertebral artery compressed the trigeminal nerve upward and the left superior cerebellar artery compressed the root entry zone. In microvascular decompression surgery, the dolichoectatic vertebral artery was transposed and fixed to the dura with fibrin glue adhesive, and a wide working space was acquired. Then, the superior cerebellar artery was confirmed to compress the trigeminal nerve root and was transposed from the root entry zone. The patient was relieved of the trigeminal neuralgia after the surgery. Vascular transposition using fibrin glue adhesive is safer and easier than other methods, even for transposition of the vertebral artery. The highest priority should be given to the safety of the method in functional neurosurgical operations.

[1]  L. Sekhar,et al.  THE USE OF FIBRIN GLUE TO STOP VENOUS BLEEDING IN THE EPIDURAL SPACE, VERTEBRAL VENOUS PLEXUS, AND ANTERIOR CAVERNOUS SINUS: TECHNICAL NOTE , 2007, Neurosurgery.

[2]  A. Kaufmann,et al.  Use of fenestrated aneurysm clips in microvascular decompression surgery. Technical note and case series. , 2007, Journal of neurosurgery.

[3]  A. Gharabaghi,et al.  Using an end-to-side interposed sural nerve graft for facial nerve reinforcement after vestibular schwannoma resection. Technical note. , 2006, Journal of neurosurgery.

[4]  S. Nagahiro,et al.  Ruptured de novo thrombotic giant aneurysm induced by ethyl 2-cyanoacrylate: case report. , 2004, Surgical neurology.

[5]  T. Shigeno,et al.  Snare technique of vascular transposition for microvascular decompression--technical note. , 2002, Neurologia medico-chirurgica.

[6]  T. Inagawa,et al.  Ruptured de novo aneurysm induced by ethyl 2-cyanoacrylate: case report. , 1998, Neurosurgery.

[7]  L. Dickinson.  Ruptured de Novo Aneurysm Induced by Ethyl 2-Cyanoacrylate: Case Report , 1998 .

[8]  H. Coakham,et al.  Teflon-induced granuloma following treatment of trigeminal neuralgia by microvascular decompression. Report of two cases. , 1997, Journal of neurosurgery.

[9]  T. Yoshimine,et al.  Topical application of fibrin adhesive in the rat brain: effects on different cellular elements of the wound. , 1997, Neurological research.

[10]  H. Jho,et al.  Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar compression. , 1994, Journal of neurosurgery.

[11]  K. Kinoshita,et al.  Microvascular decompression for trigeminal neuralgia with special reference to delayed recurrence. , 1990, Neurologia medico-chirurgica.

[12]  O. Sagher,et al.  Aseptic meningitis caused by Teflon implantation for microvascular decompression. Case report. , 1999, Journal of neurosurgery.