Overview
Microvascular decompression is referred to as a "non-destructive" surgical procedure because, unlike the other surgical procedures outlined, it does not involve causing an injury or damage to the nerve. The operation is performed under general anesthesia where a small opening is made in the back of the skull on the side with the pain.
The trigeminal nerve is viewed with a microscope and compressing blood vessels are removed and the nerve is padded with a soft pad (typically shredded Teflon). Teflon cotton is placed to prevent the artery from sliding back and pressing against the nerve.
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Thalamotomy 
Meningiomas 
Hemispherectomy
Pineocytoma
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