Summary
W. James Gardner developed a unique operation to treat selected cases of trigeminal neuralgia. In 1959 Gardner7 described the vascular decompression operation of the trigeminal nerve, an operation which has been further refined and popularized by Jannetta8, 9 and has often been misnamed as the Jannetta operation. Gardner should be given credit for conceiving and developing this neurovascular decompression operation. The value of this operation is illustrated by two cases.
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Dandy, W. E., The treatment of trigeminal neuralgia by the cerebellar route. Ann. Surg.96 (1932), 787–795.
Dandy, W. E., Concerning the cause of trigeminal neuralgia. Am. J. Surg.24 (1934), 447–455.
Dandy, W. E., Trigeminal neuralgia and trigeminal tic douloureux. In: Practice of surgery, Vol. 12 (Lewis, R., ed.), pp. 167–187. Hagerstown, Md.: W. R. Prior Co. 1963.
Gardner, W. J., The mechanism of tic douloureux. Trans. Am. Neurol. Assoc.78 (1953), 168–173.
Gardner, W. J., Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J. Neurosurg.19 (1962), 947–958.
Gardner, W. J., Trigeminal neuralgia, clinical neurosurgery. The Congress of Neurological Surgeons15 (1968), 1–56.
Gardner, W. J., Miklos, M. V., Response of trigeminal neuralgia to “decompression” of sensory root; discussion of cause of trigeminal neuralgia. J.A.M.A.170 (1959), 1773–1776.
Jannetta, P. J., Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J. Neurosurg.26, Part II (1967), 159–162.
Jannetta, P. J., Microsurgical approach to the trigeminal nerve for tic douloureux. In: Progress in neurological surgery, Vol. 7 (Krayenbühl, H., Maspes, P. E., Sweet, W. H., eds.), pp. 180–200. Basel: Karger. 1976.
List, C. F., Williams, J. R., Pathogenesis of trigeminal neuralgia. A review. Arch. Neurol. Psychiat. (Chicago)77 (1957), 36–43.
Rand, R. W., Personal communication with James W. Gardner, 1979, 1980.
Rand, R. W., Microneurosurgery, 2nd ed. St. Louis: Mosby. 1978.
Rand, R. W., Microneurosurgery, 1st ed. St. Louis: Mosby. 1969.
Rand, R. W., Jannetta, P. J., Microneurosurgery: application of the binocular surgical microscope in brain tumors, intracranial aneurysms, spinal cord disease and nerve reconstruction. Proc. Cong. Neurolog. Surg. In: Clinical neurosurgery, Chapter XIV, pp. 319–342. Baltimore: Williams & Wilkins. 1968.
Spiller, W. G., Frazier, C. H., The division of the sensory root of the trigeminus for relief of tic douloureux; an experimental, pathologic and clinical study with a preliminary report of one surgically successful case. Philadelphia Med. J.8 (1901), 1039–1049.
Spiller, W. G., Frazier, C. H., Tic douloureux; anatomic and clinical basis for subtotal section of sensory root of trigeminal nerve. Arch. Neurol. Psychiat.29 (1933), 50–55.
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Rand, R.W. The Gardner neurovascular decompression operation for trigeminal neuralgia. Acta neurochir 58, 161–166 (1981). https://doi.org/10.1007/BF01407123
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DOI: https://doi.org/10.1007/BF01407123