Predictive Model for Pain Recurrence After Posterior Fossa Surgery for Trigeminal Neuralgia

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The treatment of trigeminal neuralgia by posterior fossa microsurgery.

Between 1972 and 1981 57 patients underwent posterior fossa exploration in Oxford by a single surgeon for the treatment of trigeminal neuralgia. Fifty-four of these had either partial or total section of the trigeminal sensory root, 2 had microvascular decompression operations and one had both a partial sensory root section and microvascular decompression. There was no mortality and no signific...

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Treatment of trigeminal neuralgia by posterior fossa microvascular decompression.

A series of 109 cases of microvascular decompression for intractable trigeminal neuralgia was reviewed. Operations were performed by a single surgeon and cases were reviewed independently by the one author. The failure rate in this study was 17.6%. A further 6.5% of cases endured brief recurrences not requiring treatment. Two-thirds of significant recurrences occurred within the initial 12 mont...

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Patterns of sensory loss following fractional posterior fossa Vth nerve section for trigeminal neuralgia.

Twenty-five patients with trigeminal neuralgia have been treated by fractional posterior fossa Vth nerve section. The procedure is shown to be effective in relieving pain, preserving corneal sensation and the motor root. Nineteen patients showed little loss of light touch sensation, and in 15 of these there was dissociation of sensory loss to pinprick and light touch. The results support the co...

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Posterior fossa exploration for trigeminal neuralgia patients older than 70 years of age.

BACKGROUND Patients with medically unresponsive trigeminal neuralgia (TN) who are >70 years of age often undergo operations that typically provide pain relief for <5 years despite having a life expectancy that can exceed 15 years. OBJECTIVE To review the safety and efficacy of posterior fossa exploration (PFE) for TN patients > 70 years of age. METHODS From 1999 to 2009, 67 TN patients >70 ...

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Trigeminal neuralgia--earlier referral for surgery.

Patients with trigeminal neuralgia may be treated in many ways before referral for definitive surgery. This aspect has been looked at in a group of 140 consecutive patients. Patients on prolonged medication have been studied with respect to the period over which the pain occurred and the amount of carbamazepine taken. Earlier referral for surgery is recommended for some of these patients and gu...

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ژورنال

عنوان ژورنال: Archives of Neurology

سال: 2002

ISSN: 0003-9942

DOI: 10.1001/archneur.59.8.1297