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P368: SURGICAL TREATMENT OF GENICULATE NEURALGIA
Megan Bauman, MD¹; Alessandro de Bonis, MD²; Luciano Leonel, PhD³; Maria Peris Celda, MD, PhD³; ¹Washington University in St. Louis; ²University of Miami; ³Mayo Clinic

We describe the surgical technique and highlight the relevant anatomy for treatment of geniculate neuralgia in a 41-year-old female using microvascular decompression and sectioning of nervus intermedius. Using a retrosigmoid craniotomy, nervus intermedius was identified as an independent fascicle located between seventh and eighth cranial nerves. Following nerve identification – and confirmation with neurostimulation – the nerve was successfully sectioned using microscissors. Postoperatively, the patient experienced complete symptom resolution with no complications at three-month follow-up.

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