Surgical treatment of intermediate nerve neuralgia using intraoperative neurophysiological monitoring
https://doi.org/10.17650/1683-3295-2024-26-1-83-91
Abstract
Intermediate nerve neuralgia (INN) is a rare pathology with difficult diagnostics and currently there is no generally accepted surgical management protocol. In this regard, an optimal surgical strategy in this case is a difficult task. The aim was to determine an optimal approach for surgical management of patients with INN using intraoperative neurophysiological monitoring (IONM).
The INN was diagnosed in a patient, a vestibulo‑cochlear complex dissection with intermediate nerve sectioning under IONM control of was performed intraoperatively. There was the earache regression, but there were gustatory disorders in the anterior portion on the left side of the tongue in the early postoperative period. In the late postoperative period, a delayed facial nerve paresis and signs of liquorrhea were diagnosed, which were completely regressed after reoperation and medication. The follow‑up period was more than 12 months; a stable regression of otoalgia was achieved. Intermediate nerve sectioning is an effective and common technique for the treatment of patients with INN. IONM improves surgical results and reduces a likelihood of different complications.
About the Authors
V. S. Dementievskiy
Federal Scientific and Clinical Center of Intensive Care and Rehabilitation
Russian Federation
Russian Federation
Bld. 2, 25 Petrovka St., Moscow 107031
E. A. Lekhnov
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
Russian Federation
Evgeniy Anatolyevich Lekchnov
132 / 1 Nemirovicha-Danchenko St., Novosibirsk 630087
S. S. Baldina
Novosibirsk State Regional Clinical Hospital
Russian Federation
Russian Federation
130 Nemirovicha-Danchenko St., Novosibirsk 630087
G. N. Litvinchuk
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
Russian Federation
132 / 1 Nemirovicha-Danchenko St., Novosibirsk 630087
D. A. Rzaev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
Russian Federation
132 / 1 Nemirovicha-Danchenko St., Novosibirsk 630087
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Review
For citations:
Dementievskiy V.S., Lekhnov E.A., Baldina S.S., Litvinchuk G.N., Rzaev D.A. Surgical treatment of intermediate nerve neuralgia using intraoperative neurophysiological monitoring. Russian journal of neurosurgery. 2024;26(1):83‑91. (In Russ.) https://doi.org/10.17650/1683-3295-2024-26-1-83-91
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