Trigeminal nerve transposition by sling-pulling technique in combination with macrovascular transposition for giant basilar artery–induced trigeminal neuralgia via a combined transpetrosal approach

Key Points

• Evaluate the effectiveness of trigeminal nerve transposition combined with macrovascular transposition for treating trigeminal neuralgia.
• Conducted a combined transpetrosal surgical approach
• Performed trigeminal nerve transposition
• Implemented basilar artery transposition
• Achieved permanent contactless trigeminal neuralgia root entry zone (TGN-REZ)
• Provided long-term pain relief and improved patient outcomes