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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(03): 626-630
DOI: 10.1055/s-0043-1771324
Case Report

Computational Fluid Dynamics Analysis of Trigeminal Neuralgia Associated with the Vertebral Artery: A Report of Two Cases

Authors

  • Kapil Patil

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan

  • Fuminari Komatsu 

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan

  • Riki Tanaka

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan

  • Kento Sasaki 

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan

  • Yasuhiro Yamada

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan

  • Mai Okubo

    2   Department of Nurse Practitioner, Fujita Health University Hospital, Aichi, Japan

  • Tomoka Katayama

    2   Department of Nurse Practitioner, Fujita Health University Hospital, Aichi, Japan

  • Kyosuke Miyatani

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan

  • Sachin Chemate

    3   Department of Neurosurgery, Noble Hospitals, Pune, Maharashtra, India

  • Toru Satoh

    4   Department of Neurosurgery, Satoh Neurosurgical Hospital, Matsunaga, Fukuyama, Japan

  • Yoko Kato

    1   Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan
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Abstract

Trigeminal neuralgia is a nerve disorder that causes unilateral severe facial pain. The clinical features of trigeminal neuralgia are agonizing, paroxysmal, anticipated in one or more divisions of the trigeminal nerve, with repetitive bursts of a few seconds, exacerbated by cutaneous stimuli. Microvascular decompression is proven effective, resulting in a positive outcome. Here, we report two cases of trigeminal neuralgia associated with the vertebral artery, who underwent endoscopic microvascular decompression. This case report aims to show the benefit of computational fluid dynamics evaluation of the neurovascular contact and its effect on change in wall shear stress magnitude of the offending vertebral artery after surgical management with microvascular decompression.

Keywords

computational fluid dynamics - microvascular decompression - neurovascular contact - trigeminal neuralgia - wall shear stress magnitude

Authors' Contributions

Kapil L. Patil contributed to conceptualization and drafting of the case report, review of the literature, and compilation of data. Fuminari Komatsu helped in operations and procedures, proofread the manuscript, and contributed substantially to the discussion. Kento Sasaki, Kyosuke Miyatani, Riki Tanak, Yasuhiro Yamada, Mai Okubo, Tomoka Katayama, and Sachin Chemate helped in data collection. Toru Satoh and Yoko Kato proofread the manuscript and contributed substantially to the discussion.




Publikationsverlauf

Artikel online veröffentlicht:
22. September 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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