Background: The clinical data of patients with trigeminal neuralgia who received treatment were retrospectively analyzed, and the surgical strategy for cases without vascular compression was investigated. Methods: Clinical data from 98 patients with trigeminal neuralgia who underwent MVD surgery were retrospectively analyzed. All patients underwent preoperative examinations of 3D-TOF-MRA and 3D...

IMPORTANCE OF THE FIELD Although trigeminal neuralgia has traditionally been considered the prime neuralgic condition in the face region, other forms of neuropathic pain are now being more frequently recognized and require recognition and a different management approach. AREAS COVERED IN THIS REVIEW This review principally covers medical management of trigeminal neuralgia; but also included i...

Percutaneous trigeminal ganglion compression for the relief of trigeminal neuralgia is a technically simple, non-painful procedure, carried out under brief general anesthesia. The patients could tolerate well during the treatment. The operation successful rate is high, and the procedure can be repeated at the next day if the symptom was not relieved. The procedure, in the present, is the first ...

A 49 year-old man with trigeminal neuralgia caused by megadolichobasilar anomaly was described. The patient having neuralgic attacks in the second branch of the right trigeminal nerve for two and a half years showed the angiographic evidence of a tortuous and elongated vertebrobasilar artery and MRI of the brain clearly visualized the root entry zone of the nerve having been compressed by the m...

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...

Seven consecutive patients with multiple sclerosis and trigeminal neuralgia were investigated with MRI to determine the occurrence of a lesion which would account for the patients' pain. Two patients had bilateral symptoms. In the patients with unilateral trigeminal neuralgia vascular compression of the nerve by an artery at the root entry zone on the symptomatic side was confirmed in three pat...

Trigeminal neuralgia, a disabling painful disease affects approximately 4-5 per 100,000 individuals per year (1). More recent studies report a much higher incidence of 26 -29 per 100,000 (2, 3). It affects mainly those in the 40-80 years range and when occurring in those younger, secondary causes for trigeminal neuralgia are sought. The American census bureau reported a 15% increase in those 65...

The trigeminocerebellar artery (TCA) is a branch of the basilar artery that may have an intraneural course and may cause trigeminal neuralgia. We report a case of trigeminal neuralgia with right vertebral artery aneurysm caused by an intraneural TCA that compressed the trigeminal nerve in multiple places. We performed proximal trapping for the fusiform aneurysm with extra-intracranial bypass to...

CONTEXT Trigeminal neuralgia is as a chronic, debilitating condition, which can have a major impact on quality of life. There are few reports of trigeminal neuralgia in oriental populations. OBJECTIVES To evaluate the retrospective data of the patients diagnosed with idiopathic trigeminal neuralgia and to understanding the disorder in the Indian populace. METHODS The retrospective data of 7...

A 69-year-old woman developed acute pain in the left trigeminal and glossopharyngeal nerve distributions. MR imaging demonstrated a left lateral medullary infarction (LMI) involving the left spinotrigeminal nucleus and tract, nucleus ambiguus, and solitary nucleus. Most patients presenting with trigeminal neuralgia will have disease involving the trigeminal nerve or ganglion or the primary sens...