Macrovascular Decompression of Trigeminal Nerve for Dolichoectatic Basilar Artery with Sling Technique
Abstract
Trigeminal neuralgia (TN) is a chronic facial pain disorder marked by electric shock-like pain. Rarely, a dolichoectatic vertebrobasilar artery compresses the trigeminal nerve root entry zone, causing refractory TN. Macrovascular decompression with sling transposition is a key surgical approach. We present a 63-year-old man with 4 years of progressive right-sided facial pain. This report reviews clinical findings, operative technique, and offers technical pearls for successful decompression. 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
Vascular Malformations Diagnosis 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