Hybrid Microvascular Decompression For Cranial Neurovascular Compression Syndromes: A Retrospective Case Series and Surgical Nuances

Microvascular decompression (MVD) remains the gold standard for the treatment of neurovascular compression syndromes (NVCS). Adjunctive visualization tools have been introduced to improve visualization beyond the direct microscopic line-of-sight. This study evaluated the technical feasibility, safety, and short- to mid-term clinical outcomes of QEVO®-assisted microscopic MVD.

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No actionable change for audiology clinical practice; this is a surgical technique paper relevant to neurosurgeons managing conditions such as hemifacial spasm or trigeminal neuralgia, with limited direct implication for audiologists.

Advances in microvascular decompression technique could reduce surgical complications for patients with cranial neurovascular compression syndromes, some of whom present initially to audiologists with tinnitus or hyperacusis.

1. 01Describes a 'hybrid' microvascular decompression (MVD) technique for cranial nerve compression by blood vessels.
2. 02Relevant conditions include hemifacial spasm, trigeminal neuralgia, and disabling tinnitus.
3. 03Case series format — no control group, limiting evidence strength.
4. 04Surgical nuances and adjunctive visualization tools (e.g., endoscopy) are detailed.
5. 05Findings are preliminary and require prospective validation.

PMID

42624365

DOI

10.1016/j.wneu.2026.125268.

Journal

World Neurosurgery

Publication type

case_report

Evidence level

4

Population

Patients with cranial neurovascular compression syndromes undergoing microvascular decompression surgery

Intervention

Hybrid microvascular decompression technique with adjunctive visualization tools