Microvascular Decompression for Hypertension

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Long-term results after microvascular decompression in essential hypertension.

BACKGROUND AND PURPOSE In 1998, 8 patients with severe, intractable arterial hypertension and MR tomography-demonstrated neurovascular contact of a looping artery at the root entry zone of cranial nerves IX and X, causing neurovascular compression, underwent neurosurgical decompression. The short-term results showed a normalization of blood pressure with a markedly reduced antihypertensive drug...

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Microvascular 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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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...

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Repeat microvascular decompression for hemifacial spasm.

OBJECTIVE To report our experience with repeat microvascular decompression (MVD) for hemifacial spasm (HFS) in patients who have failed their first operation. METHODS The authors describe 41 redo MVDs for HFS in 36 patients performed over a 3 year period. Seven patients underwent early re-operation after an aborted seventh nerve decompression. Eight patients underwent early re-operation for c...

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Microvascular Decompression for Refractory Trigeminal Neuralgia

Background Trigeminal neuralgia (TN) is a common microvascular compression syndrome of cranial nerves. Medical treatment is regarded as the first line treatment; however, a group of patients do not respond to medical treatment satisfactorily and develop persistent and refractory symptom(s). Surgical microvascular decompression (MVD) is usually then advised. We reviewed the surgical MVD outcome ...

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ژورنال

عنوان ژورنال: Neurologia medico-chirurgica

سال: 1991

ISSN: 0470-8105,1349-8029

DOI: 10.2176/nmc.31.1