Surgical Treatment of Geniculate Neuralgia
Abstract
We describe the surgical technique and highlight the relevant anatomy for treatment of geniculate neuralgia in a 41-year-old female using microvascular decompression and sectioning of nervus intermedius. Using a retrosigmoid craniotomy, nervus intermedius was identified as an independent fascicle located between seventh and eighth cranial nerves. Following nerve identification – and confirmation with neurostimulation – the nerve was successfully sectioned using microscissors. Postoperatively, the patient experienced complete symptom resolution with no complications at three-month follow-up. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Trigeminal Neuralgia and Treatments
Meningioma and schwannoma management
Pain Management and Treatment
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN