Microvascular decompression surgery for trigeminal neuralgia.
نویسنده
چکیده
Long-term follow-up data were analyzed to evaluate the surgical results of microvascular decompression (MVD). Among 1,324 patients with trigeminal neuralgia (TGN), who underwent MVD between 1976 and 2000, a consecutive 281 patients were followed and studied for 5-20 years as of the year of 1997. When the data were analyzed and compared in two groups (A: 1976-1986, B: 1987-1991), the postoperative cure rate increased from 92.9 to 96.7%, satisfaction rate with the results of MVD increased from 80.3 to 82.5%, incomplete cure rate decreased from 7.1 to 3.3%, and recurrence rate decreased from 10.2 to 6.5%. Advances in surgical techniques may have increased the success rate in Group B.
منابع مشابه
نتایج جراحی میکروواسکولار دکامپرسیون در بیماران مبتلا به نورالژی تریژمینال طی سالهای 83-1374 در بیمارستان شهدای تجریش
Background: Trigeminal neuralgia is a common disorder with well established diagnostic characteristics. Remission of symptoms with carbamazepine seems diagnostic, however, cases who failed to respond might advise surgery. In the present study, we investigate postoperative complications and outcomes in a group of Iranian patients referring with trigeminal neuralgia during a 10-year period. Mat...
متن کاملHEMIFACIAL SPASM: A RERORT OF 100 CASES TREATED BY MICROVASCULAR DECOMPRESSION
100 patients with hemifacial spasm treated by microvascular decompression are presented. There were 60 females and 40 males. Their ages ranged from 29 to 75 years with a median age of 54 years, and the left side was involved predominantly. The common focal signs were facial nerve palsy in 41 cases, diminished hearing in 14 cases, trigeminal neuralgia in 11 cases, and homolateral trigeminal...
متن کاملMicrovascular decompression treatment for trigeminal neuralgia.
PURPOSE The purpose of the study was to evaluate the effectiveness of microvascular decompression treatment prospectively in 40 patients with trigeminal neuralgia who were resistant to medical treatments and underwent microvascular decompression surgery (MVDS) between the years 2008 and 2010. METHODS The patients' data were collected as per norms suggested by Zakrzewska and Lopez and followed...
متن کاملMicrovascular decompression surgery for trigeminal neuralgia and hemifacial spasm: naunces of the technique based on experiences with 100 patients and review of the literature.
BACKGROUND Microvascular decompression (MVD) surgery for trigeminal neuralgia and hemifacial spasm offers a relatively low-risk opportunity to treat cranial nerve hyperactivity-compression syndromes, which are associated with severe, disabling facial pain and spasm. Although a number of publications have described the technique in detail, combining the technical nuances from different schools o...
متن کاملPerioperative and long-term operative outcomes after surgery for trigeminal neuralgia: microvascular decompression vs percutaneous balloon ablation
OBJECTIVES Numerous medical and surgical therapies have been utilized to treat the symptoms of trigeminal neuralgia (TN). This retrospective study compares patients undergoing either microvascular decompression or balloon ablation of the trigeminal ganglion and determines which produces the best long-term outcomes. METHODS A 10-year retrospective chart review was performed on patients who und...
متن کاملA prospective cost-effectiveness study of trigeminal neuralgia surgery.
OBJECTIVES Approximately 8000 patients with trigeminal neuralgia undergo surgery each year in the United States at an estimated cost exceeding $100 million. We compared 3 commonly performed surgeries (microvascular decompression, glycerol rhizotomy, and stereotactic radiosurgery) to evaluate the relative cost-effectiveness of these operations for patients with idiopathic trigeminal neuralgia. ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Stereotactic and functional neurosurgery
دوره 77 1-4 شماره
صفحات -
تاریخ انتشار 2001