Microvascular Decompression and Arachnoid Cyst Fenestration for Treatment of Medulla Oblongata Compression Caused by Arachnoid Cyst-Vascular Loop Complex: Case Report and Discussion Journal Article


Authors: Zakaria, J; Wemhoff, M; Anderson, D
Article Title: Microvascular Decompression and Arachnoid Cyst Fenestration for Treatment of Medulla Oblongata Compression Caused by Arachnoid Cyst-Vascular Loop Complex: Case Report and Discussion
Abstract: Vascular compression of neural structures has long been established as an etiology for dysfunction of multiple cranial nerves. Classically, as is the case of trigeminal neuralgia, vascular compression by an offending artery and sometimes vein exerting pressure at the root entry zone of the trigeminal nerve can lead to the characteristic pain syndrome. In these cases, microvascular decompression is an effective, durable surgical intervention to relieve the neuralgia. In this report, we present a unique case of a patient with direct compression of the medulla oblongata by an arachnoid cyst and associated vascular loops, with subsequent resolution of the patient#39;s symptoms following fenestration of cyst and microvascular decompression.
Journal Title: World neurosurgery
ISSN: 1878-8769; 1878-8750
Publisher: Elsevier Inc  
Journal Place: United States
Date Published: 2018
Language: eng
DOI/URL:
Notes: LR: 20180227; CI: Copyright (c) 2018; JID: 101528275; 2017/12/28 00:00 [received]; 2018/02/16 00:00 [revised]; 2018/02/17 00:00 [accepted]; 2018/02/28 06:00 [entrez]; 2018/02/28 06:00 [pubmed]; 2018/02/28 06:00 [medline]; aheadofprint