Optimizing microvascular decompression for venous compression in trigeminal neuralgia: clinical outcomes and technical considerations

Key Points

• This research aims to evaluate clinical outcomes of microvascular decompression specifically for venous compression in trigeminal neuralgia.
• Utilized tailored surgical approaches including selective venous transposition and division.
• Engaged in full-length exposure from the root entry zone to Meckel's cave.
• Assessed low-tension adhesions to optimize procedure outcomes.
• Achieved durable pain control with tailored surgical methods.
• Noted minimal morbidity associated with innovative techniques.
• Demonstrated effectiveness of approaches in managing distinct venous compression cases.