Transposition vs. Interposition in MVD Surgery | Dr. Raymond Sekula | Brainwaves 2025

In this focused session from Brainwaves 2025, Dr. Raymond Sekula, Director of Facial Pain and Professor of Neurological Surgery at Columbia University Irving Medical Center, explores the surgical decision-making behind transposition vs. interposition techniques in microvascular decompression (MVD) for trigeminal neuralgia and other cranial nerve compression syndromes. A national leader in facial pain surgery, Dr. Sekula draws on his extensive operative experience to discuss: Indications for using transposition vs. interposition Surgical anatomy and vessel manipulation techniques Long-term outcomes, complication profiles, and recurrence data Case examples illustrating technique selection and intraoperative adjustments This talk was delivered at Brainwaves 2025, Columbia Neurosurgery’s annual CME-accredited brain and spine review, held in New York City. 📅 Save the date for Brainwaves 2026: September 18–19, 2026 🔗 Learn more: https://www.neurosurgery.columbia.edu 🎥 Watch the full series Brainwaves 2025 Playlist