Microvascular decompression surgery is standard neurosurgical practice for treating trigeminal neuralgia and hemifacial spasm. Most other cranial nerves have been decompressed for paroxysmal intermittent hyperactivity of the affected cranial nerve or in very longstanding compressions to treat cranial nerve hypo-functioning.
We here describe a case of intermittent paroxysmal unilateral phosphenes (i.e., light flashes) associated with worsening visual field defects. Magnetic resonance imaging (MRI) demonstrated a sandwiched optic nerve/chiasm between an inferior compression of the internal carotid artery (ICA) and a superior compression of the anterior communicating artery (ACoA). He was successfully treated by a microvascular decompression and anterior clinoidectomy plus optic canal unroofing.
This case report adds to the few previous case reports in combining 2 previously described techniques, i.e. microvascular decompression and anterior clinoidectomy plus optic canal unroofing.
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 October 2015.
All research outputs
#20,655,488
of 25,371,288 outputs
Outputs from World Neurosurgery
#4,625
of 7,046 outputs
Outputs of similar age
#213,357
of 291,301 outputs
Outputs of similar age from World Neurosurgery
#41
of 76 outputs
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