Repositioning of the tortuous vertebrobasilar artery for trigeminal neuralgia: a technical note

Surg Neurol. 1992 Sep;38(3):232-5. doi: 10.1016/0090-3019(92)90174-l.


A patient with trigeminal neuralgia caused by a tortuous vertebrobasilar artery is reported. To obtain safe and certain neurovascular decompression of the trigeminal nerve, the tortuous vertebrobasilar artery was repositioned by pulling it toward the dura mater of the clivus using a synthetic vascular slip. The authors describe the technique of repositioning of the tortuous vertebrobasilar artery and its usefulness.

Publication types

  • Case Reports

MeSH terms

  • Basilar Artery / pathology
  • Basilar Artery / surgery*
  • Humans
  • Male
  • Middle Aged
  • Trigeminal Neuralgia / etiology
  • Trigeminal Neuralgia / surgery*
  • Vertebral Artery / pathology
  • Vertebral Artery / surgery*