{"id":"https://openalex.org/W2139685227","doi":"https://doi.org/10.3171/jns.2000.93.3.0421","title":"Microvascular decompression for cochlear symptoms","display_name":"Microvascular decompression for cochlear symptoms","publication_year":2000,"publication_date":"2000-09-01","ids":{"openalex":"https://openalex.org/W2139685227","doi":"https://doi.org/10.3171/jns.2000.93.3.0421","mag":"2139685227","pmid":"https://pubmed.ncbi.nlm.nih.gov/10969939"},"language":"en","primary_location":{"id":"doi:10.3171/jns.2000.93.3.0421","doi":"https://doi.org/10.3171/jns.2000.93.3.0421","is_oa":false,"landing_page_url":"https://doi.org/10.3171/jns.2000.93.3.0421","pdf_url":null,"source":{"id":"https://openalex.org/S1995308","display_name":"Journal of neurosurgery","issn_l":"0022-3085","issn":["0022-3085","1933-0693"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310316861","host_organization_name":"American Association of Neurological Surgeons","host_organization_lineage":["https://openalex.org/P4310316861"],"host_organization_lineage_names":["American Association of Neurological Surgeons"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111764624","display_name":"Tomomi Okamura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I861488341","display_name":"Ube (Japan)","ror":"https://ror.org/05xhmzx41","country_code":"JP","type":"company","lineage":["https://openalex.org/I861488341"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomomi Okamura","raw_affiliation_strings":["Department of Neurosurgery, Ube Industries Central Hospital, Yamaguchi, Japan. okam123@lime.ocn.ne.jp"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Ube Industries Central Hospital, Yamaguchi, Japan. okam123@lime.ocn.ne.jp","institution_ids":["https://openalex.org/I861488341"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109285483","display_name":"Yasushi Kurokawa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yasushi Kurokawa","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077468134","display_name":"Norio Ikeda","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Norio Ikeda","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111702402","display_name":"Seisho ABIKO","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Seisho Abiko","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090124645","display_name":"Makoto Ideguchi","orcid":"https://orcid.org/0000-0002-6406-9117","observed_orcids":["https://orcid.org/0000-0002-6406-9117"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Makoto Ideguchi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019643856","display_name":"Kousaku WATANABE","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kousaku Watanabe","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5011852864","display_name":"Toshishige Kido","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Toshishige Kido","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4317,"has_fulltext":false,"cited_by_count":60,"citation_normalized_percentile":{"value":0.67255931,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"93","issue":"3","first_page":"421","last_page":"426"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12193","display_name":"Trigeminal Neuralgia and Treatments","score":0.9731000065803528,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12193","display_name":"Trigeminal Neuralgia and Treatments","score":0.9731000065803528,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.019500000402331352,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/microvascular-decompression","display_name":"microvascular decompression","score":0.9860000014305115},{"id":"https://openalex.org/keywords/neurovascular-compression","display_name":"neurovascular compression","score":0.9580000042915344},{"id":"https://openalex.org/keywords/cerebellopontine-angle","display_name":"cerebellopontine angle","score":0.8349999785423279},{"id":"https://openalex.org/keywords/anterior-inferior-cerebellar-artery","display_name":"anterior inferior cerebellar artery","score":0.9150000214576721},{"id":"https://openalex.org/keywords/tinnitus","display_name":"tinnitus","score":0.7839999794960022},{"id":"https://openalex.org/keywords/sensorineural-hearing-loss","display_name":"sensorineural hearing loss","score":0.7860000133514404},{"id":"https://openalex.org/keywords/vestibulocochlear-nerve","display_name":"vestibulocochlear nerve","score":0.6549999713897705},{"id":"https://openalex.org/keywords/auditory-brainstem-response","display_name":"auditory brainstem response","score":0.7020000219345093}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9480454325675964},{"id":"https://openalex.org/C2780504541","wikidata":"https://www.wikidata.org/wiki/Q6840467","display_name":"Microvascular decompression","level":3,"score":0.8298858404159546},{"id":"https://openalex.org/C2776992516","wikidata":"https://www.wikidata.org/wiki/Q192309","display_name":"Tinnitus","level":2,"score":0.7888493537902832},{"id":"https://openalex.org/C86605331","wikidata":"https://www.wikidata.org/wiki/Q3617410","display_name":"Cerebellopontine angle","level":3,"score":0.7876825332641602},{"id":"https://openalex.org/C2776318020","wikidata":"https://www.wikidata.org/wiki/Q707277","display_name":"Anterior inferior cerebellar artery","level":3,"score":0.7482950091362},{"id":"https://openalex.org/C105572291","wikidata":"https://www.wikidata.org/wiki/Q7002775","display_name":"Neurovascular bundle","level":2,"score":0.6762364506721497},{"id":"https://openalex.org/C2779570255","wikidata":"https://www.wikidata.org/wiki/Q319317","display_name":"Vestibulocochlear nerve","level":2,"score":0.613436222076416},{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.5999462008476257},{"id":"https://openalex.org/C2776796419","wikidata":"https://www.wikidata.org/wiki/Q2519137","display_name":"Cochlear nerve","level":3,"score":0.5933517813682556},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.5931456089019775},{"id":"https://openalex.org/C2781377851","wikidata":"https://www.wikidata.org/wiki/Q5064074","display_name":"Cerebellar artery","level":3,"score":0.5310488343238831},{"id":"https://openalex.org/C2779135839","wikidata":"https://www.wikidata.org/wiki/Q2531983","display_name":"Vertigo","level":2,"score":0.5262616872787476},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.519393265247345},{"id":"https://openalex.org/C2778034410","wikidata":"https://www.wikidata.org/wiki/Q180454","display_name":"Cranial nerves","level":2,"score":0.501838207244873},{"id":"https://openalex.org/C2778200203","wikidata":"https://www.wikidata.org/wiki/Q707592","display_name":"Superior cerebellar artery","level":3,"score":0.46048837900161743},{"id":"https://openalex.org/C2781344935","wikidata":"https://www.wikidata.org/wiki/Q1568480","display_name":"Hemifacial spasm","level":3,"score":0.436124324798584},{"id":"https://openalex.org/C2780405337","wikidata":"https://www.wikidata.org/wiki/Q516546","display_name":"Vertebral artery","level":2,"score":0.39119789004325867},{"id":"https://openalex.org/C2781012200","wikidata":"https://www.wikidata.org/wiki/Q500339","display_name":"Basilar artery","level":2,"score":0.3908649682998657},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.27231210470199585},{"id":"https://openalex.org/C2780130748","wikidata":"https://www.wikidata.org/wiki/Q317857","display_name":"Cochlea","level":2,"score":0.2584071159362793},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.25626739859580994},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.17485633492469788},{"id":"https://openalex.org/C2778987478","wikidata":"https://www.wikidata.org/wiki/Q242160","display_name":"Facial nerve","level":2,"score":0.16200965642929077},{"id":"https://openalex.org/C2780355897","wikidata":"https://www.wikidata.org/wiki/Q1132120","display_name":"Trigeminal neuralgia","level":2,"score":0.16112947463989258},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.1558912992477417},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.08315134048461914}],"mesh":[{"descriptor_ui":"D000160","descriptor_name":"Vestibulocochlear Nerve Diseases","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D000160","descriptor_name":"Vestibulocochlear Nerve Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002531","descriptor_name":"Cerebellum","qualifier_ui":"Q000098","qualifier_name":"blood supply","is_major_topic":false},{"descriptor_ui":"D005072","descriptor_name":"Evoked Potentials, Auditory","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006319","descriptor_name":"Hearing Loss, Sensorineural","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006319","descriptor_name":"Hearing Loss, Sensorineural","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008833","descriptor_name":"Microcirculation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014012","descriptor_name":"Tinnitus","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D014012","descriptor_name":"Tinnitus","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019299","descriptor_name":"Decompression, Surgical","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3171/jns.2000.93.3.0421","doi":"https://doi.org/10.3171/jns.2000.93.3.0421","is_oa":false,"landing_page_url":"https://doi.org/10.3171/jns.2000.93.3.0421","pdf_url":null,"source":{"id":"https://openalex.org/S1995308","display_name":"Journal of neurosurgery","issn_l":"0022-3085","issn":["0022-3085","1933-0693"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310316861","host_organization_name":"American Association of Neurological Surgeons","host_organization_lineage":["https://openalex.org/P4310316861"],"host_organization_lineage_names":["American Association of Neurological Surgeons"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery","raw_type":"journal-article"},{"id":"pmid:10969939","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10969939","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of neurosurgery","raw_type":"Clinical Trial"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W1480973386","https://openalex.org/W1559372328","https://openalex.org/W1965085935","https://openalex.org/W1981349494","https://openalex.org/W1993037711","https://openalex.org/W2002242948","https://openalex.org/W2029548172","https://openalex.org/W2036671046","https://openalex.org/W2039893786","https://openalex.org/W2077343490","https://openalex.org/W2081444343","https://openalex.org/W2094880397","https://openalex.org/W2116121044","https://openalex.org/W2321054411","https://openalex.org/W2399364596","https://openalex.org/W2404765883","https://openalex.org/W2418431899","https://openalex.org/W6633438070"],"related_works":["https://openalex.org/W1990566985","https://openalex.org/W191798422","https://openalex.org/W1554107210","https://openalex.org/W2359537888","https://openalex.org/W107702147","https://openalex.org/W6983417586","https://openalex.org/W2001944117","https://openalex.org/W2104491923","https://openalex.org/W2074430713","https://openalex.org/W2005471983"],"abstract_inverted_index":{"OBJECT:":[0],"The":[1,203],"object":[2],"of":[3,11,20,44,63,87,92,119,135,145,188,220,227,230,238,240,253],"this":[4,111],"study":[5,82],"was":[6,78,101,113,141],"to":[7,40,103,215],"evaluate":[8],"the":[9,45,54,64,88,95,107,127,146,161,164,221,235,241,254],"efficacy":[10],"a":[12,50,71,120,186],"new":[13,72],"neurovascular":[14,41],"decompression":[15,76,205,252],"technique":[16,73,206],"in":[17,49,83,106,143,157,193,211],"relieving":[18],"symptoms":[19,213],"cochlear":[21,222,255],"nerve":[22,48,244],"dysfunction.":[23],"METHODS:":[24],"Nineteen":[25],"patients":[26,94,148,171],"with":[27,149,163,173,224,247],"slowly":[28],"progressive":[29],"hearing":[30,34,133,167],"loss,":[31,35],"low-frequency":[32],"fluctuating":[33],"and":[36,56,110,130,181,197,245],"high-pitched":[37],"tinnitus":[38,174,180,194],"due":[39,214],"compression":[42,105,219],"(NVC)":[43],"eighth":[46,57,242],"cranial":[47,58,243],"triangular":[51],"space":[52],"between":[53,126],"seventh":[55],"nerves":[59],"(the":[60],"VII-VIII":[61,108],"triangle)":[62],"cerebellopontine":[65],"angle":[66],"(CPA)":[67],"were":[68],"treated":[69],"using":[70],"for":[74,117],"microvascular":[75,204,251],"that":[77,140],"developed":[79],"by":[80,152],"anatomical":[81],"24":[84],"cadaver":[85],"specimens":[86],"CPA.":[89],"In":[90],"12":[91],"19":[93,147],"anterior":[96],"inferior":[97],"cerebellar":[98],"artery":[99,129],"(AICA)":[100],"observed":[102],"cause":[104],"triangle":[109],"vessel":[112],"easily":[114],"mobilized":[115],"medially":[116],"placement":[118],"silicone":[121],"sponge":[122],"or":[123,138,217],"Teflon":[124],"cushion":[125],"compressing":[128],"nerve.":[131,256],"Postoperatively,":[132],"loss":[134],"20":[136],"dB":[137,156],"more":[139,153],"present":[142],"11":[144],"NVC":[150,239],"improved":[151],"than":[154],"5":[155],"seven":[158],"(64%),":[159],"including":[160],"patient":[162],"most":[165],"severe":[166],"loss.":[168],"Of":[169],"18":[170],"presenting":[172],"preoperatively,":[175],"eight":[176],"(44%)":[177],"had":[178,190],"no":[179],"an":[182],"additional":[183],"nine":[184],"(for":[185],"total":[187],"94%)":[189],"good":[191],"improvement":[192],"after":[195,250],"surgery":[196],"at":[198],"long-term":[199],"follow":[200],"up.":[201],"CONCLUSIONS:":[202],"described":[207],"is":[208],"highly":[209],"successful":[210],"treating":[212],"direct":[216],"indirect":[218],"nerve,":[223],"minimal":[225],"risk":[226],"complications.":[228],"Recordings":[229],"auditory":[231],"brainstem":[232],"responses":[233],"confirmed":[234],"clinical":[236,248],"diagnosis":[237],"correlated":[246],"results":[249]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}