With the development of functional neurosurgery, cranial nerve hyperexcitability disorders - such as trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia - have been focused on by more and more neurosurgeons worldwide. On January 12-14, 2018, the 2nd meeting of the World Neurosurgeon Federation of Cranial Nerve Disorders (WNFCND) was held in Shanghai, China. This year, the event was also under the auspices of the WFNS Neurorehabilitation & Reconstructive Neurosurgery Committee.
The WNFCND is an international academic society concerning cranial nerve dysfunctions, especially those benefitting from treatment with microvascular decompression (MVD) surgery. It was launched by Professors LI ShiTing and ZHONG Jun from the Neurosurgical Department, XinHua Hospital, Shanghai JiaoTong University School of Medicine. This new international federation gathered the most famous experts in the field. At present, the executive committee members include Raymond F. Sekula, Jr. and Gail Rosseau from USA, Anthony M. Kaufmann and Christopher R. Honey from Canada, Marc Sindou from France, Akinori Kondo and Takamitsu Fujimaki from Japan, Kwan Park and Sang-Sun Chang from Korea, Dirk de Ridder from New Zealand, Alessandro Olivi and Massimiliano Visocchi from Italy, Maximilian Mehdorn from Germany, and Maher Al-Hejji from Saudi Arabia.
The meeting was divided into 5 sessions in separate halls with more than 1,000 in the audience. Thanks to the Chinese population, the XinHua team has performed more than 10,000 MVDs. In addition, they have proposed a novel hypothesis on the pathogenesis of hemifacial spasm and published more than 100 papers in English on the topic. At the meeting, a new book entitled Microvascular Decompression Surgery was released. It was edited by Li, Zhong and Sekula, and included contributions by some of the most famous experts in this field - including Jannetta and Rhoton.
The event was very successful - with conclusions that (1) MVD is the most effective remedy for cranial nerve hyperexcitability disorders, and (2) the postoperative outcome is positively associated with the operator's experience. Therefore, the surgical technique should be further addressed in future meetings in order to qualify more neurosurgeons to be effective with the MVD procedure.
Prof. Jun Zhong
School of Medicine
Shanghai JiaoTong University