• Corpus ID: 2943443

Surgical management of geniculate neuralgia.

@article{Lovely1997SurgicalMO,
  title={Surgical management of geniculate neuralgia.},
  author={Thomas J. Lovely and Peter J. Jannetta},
  journal={The American journal of otology},
  year={1997},
  volume={18 4},
  pages={
          512-7
        }
}
BACKGROUND Geniculate ganglion or nervus intermedius neuraigia is an unusual condition resulting in deep ear pain with or without signs of atypical trigeminal neuralgia, deep face, or throat pain. This article describes an experience with 14 patients who came to the neurosurgical service at the University of Pittsburgh Medical Center with a diagnosis of geniculate neuralgia. METHODS After failing conservative treatment and after undergoing neurologic, otologic, and dental evaluations, these… 

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In carefully selected patients with consistent clinical and radiographic presentation, sectioning of the nervus intermedius and microvascular decompression of the lower cranial nerves can be an effective treatment.

Bilateral Nervus Intermedius Sectioning for Geniculate Neuralgia: Case Report and Operative Video.

Bilateral sectioning of nervus intermedius may provide benefit in patients with bilateral geniculate neuralgia without egregious side effects, however, lacrimatory and gustatory alterations are a potentially significant side effect with a wide range of symptomatology.

Geniculate neuralgia in an adolescent treated via sectioning of the nervus intermedius and microvascular decompression.

The case of an adolescent boy with bilateral geniculate neuralgia treated at two different time points with sectioning of the NI and MVD is presented.

Clinical implications of nervus intermedius variants in patients with geniculate neuralgia: Let anatomy be the guide

It is found that a detailed knowledge of the NIs anatomy, variants, and intraoperative surgical anatomic findings are the key to choosing the most appropriate intervention, and may provide the answer to why some patients fail to experience pain relief after surgery.

Nervus Intermedius Neuralgia Treated with Microvascular Decompression: A Case Report and Review of the Literature

A case of a surgically treated 36-year-old woman who suffered from paroxysmal stabbing deep-ear pain for over 10 years is presented, supporting the hypothesis that nervus intermedius neuralgia could be caused by neurovascular compression.

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This case illustrates that surgery should not only be regarded as a last resort in case of failure of conservative treatment but also should be considered early in the disease course, especially in the case of a clear neurovascular conflict.

Clinical Photographs Editor: Endoscopy during neurotomy of the nervus intermedius for geniculate neuralgia

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The rigid endoscope can be used safely during posterior fossa surgery to treat cranial neuropathies, and it allows improved observation of the cranial nerves, nerve cleavage planes, and vascular anatomic features without significant cerebellar or brainstem retraction.

Microvascular decompression may be an effective treatment for nervus intermedius neuralgia

Patients with nervus intermedius neuralgia who do not respond to medical treatment may benefit from microvascular decompression, and contribute to the literature regarding both this syndrome and this specific form of treatment.