Treatment of atypical trigeminal neuralgia with microvascular decompression.

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dc.contributor.authorHai, Jianen_US
dc.contributor.authorLi, Shi-Tingen_US
dc.contributor.authorPan, Qing-Gangen_US
dc.date.accessioned2006-03-09en_US
dc.date.accessioned2009-06-03T10:46:37Z
dc.date.available2006-03-09en_US
dc.date.available2009-06-03T10:46:37Z
dc.date.issued2006-03-09en_US
dc.description.abstractAIM: To explore the methods for achieving pain relief in patients with atypical trigeminal neuralgia (TN) using microvascular decompression (MVD). STUDY DESIGN AND SETTINGS: Retrospective study of 26 patients treated during the years 2000 to 2004. MATERIALS AND METHODS: Twenty-six patients in whom vascular compression of the trigeminal nerve was identified by high definition magnetic resonance tomographic angiography (MRTA) were treated with MVD for atypical TN in our department. Clinical presentations, surgical findings and clinical outcomes were analyzed retrospectively. RESULTS: In this study, single trigeminal division was involved in only 2 patients (8%) and two or three divisions in the other 24 patients (92%). Of prime importance is the fact that in 46.2% of the patients, several conflicting vessels were found in association. Location of the conflicts around the circumference of the trigeminal root was supero-medial to the root in 53.5%, supero-lateral in 30.8% and inferior in 15.7%. MVD for atypical TN resulted in complete pain relief in 50% of the patients with complete decompression, partial pain relief in 30.8% and poor pain relief or pain recurrence in 19.2% of the patients without complete decompression postoperatively. CONCLUSIONS: Complete decompression of the entire trigeminal root plays an important role in achieving pain relief in patients with atypical TN with MVD.en_US
dc.description.affiliationDepartment of Neurosurgery, Tongji Hospital, Tongji University, Shanghai - 200065, China. haijiandoc@yahoo.com.cnen_US
dc.identifier.citationHai J, Li ST, Pan QG. Treatment of atypical trigeminal neuralgia with microvascular decompression. Neurology India. 2006 Mar; 54(1): 53-6; discussion 57en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/120448
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAgeden_US
dc.subject.meshDecompression, Surgical --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMicrocirculationen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNerve Compression Syndromes --complicationsen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTrigeminal Neuralgia --complicationsen_US
dc.titleTreatment of atypical trigeminal neuralgia with microvascular decompression.en_US
dc.typeJournal Articleen_US
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