Skip to main content
Log in

The Gardner neurovascular decompression operation for trigeminal neuralgia

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dandy, W. E., The treatment of trigeminal neuralgia by the cerebellar route. Ann. Surg.96 (1932), 787–795.

    Google Scholar 

  2. Dandy, W. E., Concerning the cause of trigeminal neuralgia. Am. J. Surg.24 (1934), 447–455.

    Google Scholar 

  3. 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.

    Google Scholar 

  4. Gardner, W. J., The mechanism of tic douloureux. Trans. Am. Neurol. Assoc.78 (1953), 168–173.

    Google Scholar 

  5. Gardner, W. J., Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J. Neurosurg.19 (1962), 947–958.

    PubMed  Google Scholar 

  6. Gardner, W. J., Trigeminal neuralgia, clinical neurosurgery. The Congress of Neurological Surgeons15 (1968), 1–56.

    Google Scholar 

  7. 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.

    Google Scholar 

  8. 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.

    PubMed  Google Scholar 

  9. 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.

    Google Scholar 

  10. List, C. F., Williams, J. R., Pathogenesis of trigeminal neuralgia. A review. Arch. Neurol. Psychiat. (Chicago)77 (1957), 36–43.

    Google Scholar 

  11. Rand, R. W., Personal communication with James W. Gardner, 1979, 1980.

  12. Rand, R. W., Microneurosurgery, 2nd ed. St. Louis: Mosby. 1978.

    Google Scholar 

  13. Rand, R. W., Microneurosurgery, 1st ed. St. Louis: Mosby. 1969.

    Google Scholar 

  14. 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.

    Google Scholar 

  15. 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.

    Google Scholar 

  16. 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.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rand, R.W. The Gardner neurovascular decompression operation for trigeminal neuralgia. Acta neurochir 58, 161–166 (1981). https://doi.org/10.1007/BF01407123

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01407123

Keywords

Navigation