Chapters Transcript Video Trigeminal Neuralgia Relieved After Resection of Meckel’s Cave Mass This is a case of 43 year old woman that presented with general Zia. Did you left medical scape epidermal tumor compressing the trigeminal nerve. This is a challenging location for any approach and we decided to do a minimal invasive Indonesia approach to remove the tumor and relieve her symptoms. We started the operation harvesting an acceptable thought. We then found the median nerve on the left side which gives us access to our surgical window, which is lateral to the left, para Clavel carotid artery right into the front of Michael's cape. We open the dura and found this very classic Y dish, a vascular tumor that was progressively removed after initial developing will gain access to michael's cave itself and form a corridor formed by that connects our opening with the posterior fossa and the cerebellum. We progressively removed this fairly wide two More. You can see the surveil folio in the back and the frustration with a very flattened trigeminal nerve that express explains their symptoms. The lesion was progressively removed and we then access the most challenging part of the operation which involved the capsule or dissection from the door of the temporal lobe literally, and then we removed the posterior fossa component of the tumor that was hidden below the tent. This is us going in the posterior fossa with the endoscope and lifting up that pre print into more components that was in the naturally removed. This is this is a vascular tumors are easily detectable and are perfect for this minimal invasive type of approach. Finally, we sectioned the posterior fossa component, achieving a complete removal of delusional tissue. Wouldn't procedure to close The the operation with five Graph and Nasal Septum is up. The patient did very well after surgery. Her pain improved on a possible memory, show complete removal of the tumor. That's a photograph that you can see there, and the patient was discharged two days after surgery. Published Created by