The technique of microvascular decompression  can be difficult in patients who have already had prior treatment for trigeminal neuralgia. In this case significant narrowing of the trigeminal nerve was found at the site of prior radiosurgery treatment.  Arterial and venous conflict was found and the surgical technique is illustrated by the video. https://www.youtube.com/watch?v=3mE_ZemdG2U

Interesting analysis of delayed facial palsy after MVD for hemifacial spasm http://thejns.org/doi/abs/10.3171/2017.3.JNS162869    

Interesting study about treating trigeminal neuralgia, comparing high-resolution MRI imaging versus direct viewing of the nerve through surgery. The study noted that “while high-resolution imaging is increasingly used in guiding decisions about surgical interventions for the treatment of trigeminal neuralgia, direct assessment of the extent of vascular contact of the trigeminal nerve is still considered... Read More

Published in the latest issue of the Journal of Neurosurgery, this study details a trial in which saccular aneurysms treated with surgical clipping were compared to endovascular treatment with coil embolization. Read the full article here.  

Brain Surgery in 3-D: Coming Soon to the Operating Theater Interesting piece from the New York Times about the use of a videomicroscope in surgical procedures. Read the full article here.  

The following study focused on a specific type of aneurysm called an anterior communicating artery aneurysm, or “Acom” aneurysm. Click the link below to read the full article. Background and Purpose—The anterior communicating artery (Acom) aneurysm is the most complex in all cerebral aneurysms, and wider vascular bifurcation angles are considered to be associated with... Read More

Hemifacial spasm is rarely bilateral, however it can be successfully treated. A case of hemifacial spasm first developed on the left side and after successful treatment, developed on the right side. Both conditions were treated successfully with microvascular decompression. Click here to watch video   Click here for more information on hemifacial spasm

We have posted a 3D video showing the surgical procedure used to treat hemifacial spasm. The procedure is a microvascular decompression of the 7th nerve or Facial nerve which becomes irritated by a pulsating artery and begins to spasm uncontrollably. This effective treatment resulted in complete relief of the facial spasms. Click here  to watch... Read More

 A cerebral aneurysm is a weak spot on one of the blood vessels that goes into the brain, and one to two percent of all adults have aneurysms in the cerebral circulation. In a new set of patient education videos, Dr. David Newell defines and explains brain aneurysms, also known as cerebral aneurysms, how they... Read More

Step by step instructional video on superficial temporal to middle cerebral artery bypass procedure for the treatment of moyamoya disease Click on link to view video