Microvascular decompression of the root of the trigeminal nerve was carried out in 35 patients with trigeminal neuralgia. The principles of the surgical interventions and the intraoperative findings are described. The peculiarities of neurovascular conflict are analysed in comparison with the neurovascular conflict are analysed in comparison with the of the trigeminal root caused by the main trunk and branches of the superior cerebellar artery, the anterior inferior cerebellar artery, and the superior petrosal vein, relieved pain completely in all cases. The advantages of microvascular decompression over other methods of surgical treatment are emphasized and the authors' own method for the prevention of recurrent compression and pain syndrome is suggested.

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