Microvascular decompression or neuromodulation in patients with SUNCT and trigeminal neurovascular conflict?

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چکیده

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Microvascular decompression of the trigeminal nerve in the treatment of SUNCT and SUNA.

BACKGROUND Medical management of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) syndrome and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) is often unsatisfactory. METHODS The authors report nine cases of SUNCT/SUNA that failed medical treatment and had an aberrant arterial loop either in contact w...

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Neurovascular Decompression for Trigeminal in Elderly Patients Neuralgia

The operative findings and outcomes of neurovascular decompression for trigeminal neuralgia were compared between patients aged 75 years and older (elderly group, 17 patients) and patients aged under 75 years (nonelderly group, 115 patients). There were no statistically significant differences in the operative findings or outcomes between the two groups, except in the percentage of patients who...

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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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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: Cephalalgia

سال: 2017

ISSN: 0333-1024,1468-2982

DOI: 10.1177/0333102417735847