• World Neurosurg · May 2018

    Case Reports

    Microvascular Decompression and Arachnoid Cyst Fenestration for Treatment of Medulla Oblongata Compression Caused by Arachnoid Cyst-Vascular Loop Complex: Case Report and Discussion.

    • Jehad Zakaria, Michael Wemhoff, and Douglas Anderson.
    • Department of Neurosurgery, Loyola University Medical Center, Chicago, Illinois, USA. Electronic address: jehadzakaria@gmail.com.
    • World Neurosurg. 2018 May 1; 113: 293-295.

    BackgroundVascular compression of neural structures has long been established as an etiology for dysfunction of multiple cranial nerves. Classically, as is the case of trigeminal neuralgia, vascular compression by an offending artery and sometimes vein-exerting pressure at the root entry zone of the trigeminal nerve can lead to the characteristic pain syndrome.Case DescriptionIn these cases, microvascular decompression is an effective, durable surgical intervention to relieve the neuralgia. In this report, we present a unique case of a patient with direct compression of the medulla oblongata by an arachnoid cyst and associated vascular loops.ConclusionConfirming our suspected pathophysiology of this case, we noted resolution of the patient's symptoms following fenestration of cyst and microvascular decompression.Copyright © 2018 Elsevier Inc. All rights reserved.

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