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February 28, 2026Cureus0 citationsOpen Access

Staged Bilateral Microvascular Decompression for Trigeminal Neuralgia and Neurovascular Conflict

Staged Bilateral Microvascular Decompression for Simultaneous Bilateral Trigeminal Neuralgia Associated With Dolichoectatic Neurovascular Conflict: A Case Report and Literature Review

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Authors

JLJesús Oswaldo Díaz LagunasTMTania Jimenez MolinaRRRogelio Revuelta

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Overview

Case report reveals successful pain relief in a patient with bilateral trigeminal neuralgia, indicating a viable treatment approach.

Key Points

  • This case report aims to discuss the challenges and treatment outcomes of simultaneous bilateral trigeminal neuralgia associated with neurovascular compression.
  • Case report of a 72-year-old male with bilateral trigeminal neuralgia.
  • High-resolution MRI was used to assess neurovascular compression.
  • Staged bilateral microvascular decompression via mini-retrosigmoid approaches was performed during a single hospitalization.
  • Patient experienced immediate, complete pain relief post-surgery.
  • Functional recovery improved Karnofsky Performance Status from 60 to 90.
  • Both surgical procedures were complication-free, allowing medication withdrawal.

Cite This Study

Lagunas et al. (2026) studied this question.

synapsesocial.com/papers/69a2878e0a974eb0d3c0364dhttps://doi.org/10.7759/cureus.104303
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