TY - JOUR T1 - Absence of neurovascular conflict during microvascular decompression while treating essential trigeminal neuralgia. How to proceed? Systematic review of literature JO - Neurocirugía T2 - AU - Leidinger,Andreas AU - Muñoz-Hernandez,Fernando AU - Molet-Teixidó,Joan SN - 25298496 M3 - 10.1016/j.neucie.2018.02.001 DO - 10.1016/j.neucie.2018.02.001 UR - https://revistaneurocirugia.com/en-absence-neurovascular-conflict-during-microvascular-articulo-S2529849618300145 AB - IntroductionNeurovascular conflict is the most accepted hypothesis for the cause for trigeminal neuralgia. Microvascular decompression of the trigeminal nerve is the most common surgical treatment for these patients. However, despite advances in diagnostic techniques, neurovascular conflict is sometimes not detected during surgery. The aim of this paper is to systematically review all the options available to best manage this scenario. ResultsSeveral techniques that could be used during microvascular decompression for trigeminal neuralgia in the absence of neurovascular conflict have been described. The success rates of these techniques, pain recurrence rates and rates of complications are also reported. Finally, we provide suggestions based on our experience. ConclusionsThere is no gold standard, but several techniques could be successfully used in the absence of neurovascular conflict. The use of destructive techniques, such as PSR, should be held as treatments of last resort. ER -