Contralateral neurologic deficits following microvascular decompression surgery--a case report
Hung, C-Mao.; Kang, H-Ming.; Shen, C-Hui.; Yang, T-Chih.; Wu, C-Cheng.; Ho, W-Meng.
Acta Anaesthesiologica Sinica 40(2): 91-95
2002
ISSN/ISBN: 0254-1319 PMID: 12194397 Document Number: 540901
Microvascular decompression (MVD) surgery for trigeminal neuralgia (Jannetta operation) is common in our institution, and postoperative complications are uncommon. However, a 46 year-old obese female who underwent MVD surgery for right trigeminal neuralgia suffered from postoperative neurologic deficits consisting of left facial palsy, left total deafness, weakness and numbness of the left arm, and unsteady gait. Here, we bring forth the patient's postoperative events, such as delayed emergence, postoperative convulsions, pneumocephalus, and probable causes of the neurologic deficits for discussion.