Minim Invasive Neurosurg 2011; 54(1): 12-15
DOI: 10.1055/s-0031-1273731
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Microvascular Decompression for Trigeminal Neuralgia: Visualization of Results in a 3D Stereoscopic Virtual Reality Environment

L. D. Christiano1 , R. Singh1 , V. Sukul2 , C. J. Prestigiacomo1 , C. D. Gandhi1
  • 1Department of Neurological Surgery, University of Medicine and Dentistry of New Jersey; Newark, NJ, USA
  • 2Department of Neurological Surgery, Temple University School of Medicine, Philadelphia, PA, USA
Further Information

Publication History

Publication Date:
19 April 2011 (online)

Abstract

Background: This study employs 3D stereoscopic virtual reality technology to demonstrate the surgical results of microvascular decompression (MVD) for trigeminal neuralgia.

Patients/Material and Methods: 3D models were rendered by fusing CTA and MRI fast imaging employing steady state acquisition (FIESTA) modalities of both pre- and post-operative scans. The brainstem, trigeminal nerve root and relevant vasculature were extracted, superimposed, and co-registered to bony and ventricular anatomy.

Results: 3 clinically successful MVD cases were evaluated for superior cerebellar artery (SCA) vessel displacement. Qualitative parameters included translational and rotational shift of the SCA, and distance decompressed from the trigeminal nerve root entry zone. Parameters were met in each case, with demonstration of vessel displacement and decompression of the nerve root.

Conclusion: The 3D virtual-reality environment with stereoscopic visualization offers a method through which to visualize the results of MVD, and a potential reference point to evaluate cases of treatment failure or relapse.

References

Correspondence

C. D. Gandhi, MD 

UMDNJ-New Jersey

Medical School

Department of Neurological

Surgery

90 Bergen St., Suite 8100

Newark, NJ 07101

Phone: +1/973/972 9626

Fax: +1/973/972 2333

Email: gandhich@umdnj.edu