Peripheral Neurectomy for Management of Trigeminal Neuralgia Refractory to Multiple Surgical Procedures
نویسندگان
چکیده
منابع مشابه
Refractory trigeminal neuralgia. Non-surgical treatment options.
The guidelines on trigeminal neuralgia management published by the American Academy of Neurology (AAN) and the European Federation of Neurological Societies (EFNS) recommended that patients unresponsive to carbamazepine or oxcarbazepine be offered the surgical option. However, because some patients may not be willing to resort to surgery, we searched the literature for treatment in refractory t...
متن کاملThe place of peripheral neurectomy in the management of trigeminal neuralgia.
One hundred and forty-six patients with trigeminal neuralgia were studied. Of 49 patients ultimately maintained pain-free by non-medical means, 26 underwent peripheral neurectomy. Twenty of these achieved excellent pain control in the longer term and 5 of the remaining 6 became more responsive to carbamazepine after operation. Seven patients required repeat neurectomies. Peripheral neurectomy i...
متن کاملPeripheral neuromodulation for the treatment of refractory trigeminal neuralgia
Trigeminal neuralgia is a type of orofacial pain that is diagnosed in 150,000 individuals each year, with an incidence of 12.6 per 100,000 person-years and a prevalence of 155 cases per 1,000,000 in the United States. Trigeminal neuralgia pain is characterized by sudden, severe, brief, stabbing or lancinating, recurrent episodes of pain in the distribution of one or more branches of the trigemi...
متن کاملMicrovascular 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 ...
متن کاملSurgical outcomes of trigeminal neuralgia in patients with multiple sclerosis.
BACKGROUND Trigeminal neuralgia (TN) is relatively frequent in multiple sclerosis (MS) patients and can be extremely disabling. Surgical interventions are less effective for the treatment of MS-related TN compared with classic TN, and higher recurrence rates are observed. OBJECTIVE To evaluate initial pain-free response (IPFR), duration of pain-free intervals (PFIs), and factors predictive of...
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ژورنال
عنوان ژورنال: Plastic and Reconstructive Surgery - Global Open
سال: 2020
ISSN: 2169-7574
DOI: 10.1097/gox.0000000000003264