PMC6213807_01
MRI images (a-c) showing microvascular confliction of SCA with trigeminal nerve (a) and AICA with facial nerve (b and c). Postoperative cranial CT scan is showing no complications (d-f)
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F1
The MRI scan showed a clear conflict of SCA with TN and AICA with facial nerve [Figure 1a-c]. TN and found an arterial confliction with branches of superior cerebellar artery [Figure 1a]. The MVD was performed as explained in Video 1. Post operative CT scan showed no complications [Figure 1d-f].
Intraoperative images are showing avascular conflict of SCA with trigeminal nerve (left) and AICA with facial (right) nerve (a), reposition of AICA (a and b), and placement of Teflon between SCA and trigeminal nerve (c and d)
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F2
In the second step, facial nerve was identified and an obvious confliction with AICA branches was found [Figure 2].