Neurovascular decompression with selective partial rhizotomy of the trigeminal nerve for tic douloureux

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Neurovascular decompression with selective partial rhizotomy of the trigeminal nerve for tic douloureux.

Fourteen patients with classic tic douloureux were treated with neurovascular decorapression of the trigeminal nerve at its zone of entry into the pons. In addition, selective rhizotomy of the portio major was performed in each patient. This combined procedure gave excellent relief of pain with no recurrences in a 23-month postoperative period. Technical observations and postoperative complicat...

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Identification of Meckel cave during percutaneous glycerol rhizotomy for tic douloureux.

A new percutaneous treatment of tic douloureux has been developed . Transovale injection of glycerol into the retrogasserian trigeminal fibers in Meckel cave results in complete pain relief in 77%-89% of patients [1-3]. The major advantages of percutaneous retrogasserian glycerol rhizotomy include simplicity, radiograph ic confirmation of accurate need le placement, and a much reduced incidence...

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Endoscopic vascular decompression of the trigeminal nerve.

BACKGROUND Microvascular decompression is an effective method of treatment in trigeminal neuralgia. It may fail if a compressing vessel is overlooked during surgery. The endoscope has an edge over the microscope in visualizing such conflicts. MATERIALS AND METHODS This is a prospective study of 51 patients. Preoperative computed tomography and magnetic resonance imaging scans were performed i...

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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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ژورنال

عنوان ژورنال: Surgical Neurology

سال: 1982

ISSN: 0090-3019

DOI: 10.1016/0090-3019(82)90003-9