Long-term follow-up of microvascular decompression for management of trigeminal neuralgia
نویسندگان
چکیده
Abstract Background Trigeminal neuralgia (TN) is mostly caused by neurovascular compression of the trigeminal nerve and root entry zone at brain stem. Microvascular decompression (MVD) has been established as a standard treatment for in patients not adequately controlled medications. Objectives Reporting long-term outcome MVD our group with follow-up period equal to or more than five years. Patients methods Twenty-one operated TN were followed up least years, they evaluated describing patient criteria operative findings, complications, clinical outcome. Results Sixteen twenty-one had complete pain relief maintained years three them eight Two significant improvement but mild occasional requiring medications only one his till experienced persistent which was still there after showed year follow-up. Complications and/or transient most frequent headache nausea dizziness. Conclusion In follow-up, microvascular maintains its benefit free It safe procedures should be considered every failed medical treatment.
منابع مشابه
Microvascular Decompression for Trigeminal Neuralgia.
BACKGROUND Trigeminal Neuralgia (TGN) is the most frequently diagnosed type of facial pain. In idiopathic type of TGN it is caused by the neuro-vascular conflict involving trigeminal nerve. Microvascular decompression (MVD) aims at addressing this basic pathology in the idiopathic type of TGN. This study was conducted to determine the outcome and complications of patients with idiopathic TGN un...
متن کاملMicrovascular decompression for trigeminal neuralgia.
Eleven patients with intractable trigeminal neuralgia were treated by posterior fossa microvascular decompression. Complete pain relief was achieved in 7 patients (63.3%). Partial relief of symptoms was noted in 3 patients (27%). There was no operative mortality. Two patients developed transient lower cranial nerve palsies whereas one patient developed a CSF leak, requiring treatment by lumbar ...
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OBJECTIVE The aim of this prospective study was to demonstrate the influence of some factors on the prognosis of microvascular decompression in 37 patients with trigeminal neuralgia. METHODS The results of microvascular decompression (MVD) in 37 patients with trigeminal neuralgia were evaluated at 6 months after surgery and were compared with clinical and operative findings. RESULTS The sex...
متن کاملManagement of petrosal veins during microvascular decompression for trigeminal neuralgia.
OBJECTIVE Venous compression might be the main cause of incomplete decompression and symptom recurrence after microvascular decompression (MVD) in patients with trigeminal neuralgia. Although it can be killed in most cases, cutting the vein sometimes has the potential risk arising from venous congestion. To maneuver the vein safely, we introduced a temporary occlusion test of the vein. METHOD...
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ژورنال
عنوان ژورنال: Egyptian Journal of Neurosurgery
سال: 2022
ISSN: ['1687-5982', '2520-8225']
DOI: https://doi.org/10.1186/s41984-022-00171-z