Evidence map›Paper›PMID 40837324›Full record

ArticleSurgical neurology international2025

Dandy's vein decompression for trigeminal neuralgia: A rare venous conflict causing intractable facial pain.

Md Moshiur Rahman, Robert Ahmed Khan, Muhtamim Chowdhury, Riad Habib, Md Mahbub Hasan, Md Ruhul Kuddus

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Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Md Moshiur RahmanDepartment of Neurosurgery, Holy Family Red Crescent Medical College, Dhaka, Bangladesh.
Robert Ahmed KhanDepartment of Neurosurgery, Bangladesh Medical University, Dhaka, Bangladesh.
Muhtamim ChowdhuryDepartment of Neurosurgery, Bangladesh Medical College, Dhaka, Bangladesh.
Riad HabibDepartment of Neurosurgery, Enam Medical College and Hospital, Dhaka, Bangladesh.
Md Mahbub HasanDepartment of Neurosurgery, SSMC&H- Sir Salimullah Medical College and Hospital, Dhaka, Bangladesh.
Md Ruhul KuddusDepartment of Neurosurgery, Bangladesh Medical University, Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Trigeminal neuralgia (TN) is predominantly caused by arterial compression of the trigeminal nerve; however, venous conflicts, particularly involving Dandy's vein and the superior petrosal sinus (SPS), represent an uncommon but significant etiology. Case Description: We report a case of a 40-year-old female suffering from debilitating right-sided facial pain due to a rare "scissor effect" produced by the superior petrosal sinus and Dandy's vein (vein of the cerebellomesencephalic fissure) compressing the trigeminal nerve. Surgical decompression was performed by interposing autologous skeletal muscle wrapped with Surgicel between the conflicting venous structures and the nerve. The patient achieved complete pain relief without neurological deficits. Conclusion: This case underscores the importance of recognizing venous causes of TN and highlights the effectiveness of Dandy's vein decompression.

Indexed as

The superior petrosal sinusTrigeminal neuralgiaVenous etiologies

Identifiers

PMID40837324
PMCPMC12361714

What Socratic holds

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LicenceCC BY-NC-SA
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