Efficacy and safety of root compression of trigeminal nerve for trigeminal neuralgia without evidence of vascular compression.

Details

Serval ID
serval:BIB_8E43CB4D9901
Type
Article: article from journal or magazin.
Collection
Publications
Title
Efficacy and safety of root compression of trigeminal nerve for trigeminal neuralgia without evidence of vascular compression.
Journal
World neurosurgery
Author(s)
Revuelta-Gutierrez R., Martinez-Anda J.J., Barges Coll J, Campos-Romo A., Perez-Peña N.
ISSN
1878-8769 (Electronic)
ISSN-L
1878-8750
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
80
Number
3-4
Pages
385-389
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Trigeminal neuralgia (TN) surgical treatment with microvascular decompression is highly effective and safe, but for a percentage of patients who undergo this procedure, no vascular compression is found. The purpose of this study was to evaluate the long-term efficacy with trigeminal root compression of the trigeminal nerve in patients with TN refractory to medical treatment who underwent neurosurgical management by a retrosigmoid approach of the cerebellopontine angle and were found to be negative for vascular compression.
A prospective collection of clinical data on all patients with a diagnosis of idiopathic TN was conducted at our institution. A total of 277 patients with TN were treated by a keyhole retrosigmoid approach for exploration of the cerebellopontine angle between January of 2000 and August of 2010. A total of 44 patients were found to be negative for vascular compression of the trigeminal nerve; all of these patients underwent trigeminal root compression.
We found that all patients were pain free after the procedure. There was a 27% relapse in a mean time of 10 months, but 83% of these patients were adequately controlled by medical treatment, and only 17% needed a complementary procedure for pain relief. We also found that 63% of the patients complained of a partial loss of facial sensitivity, but only 1 patient presented with a corneal ulcer. There was a 6.7% rate of significant complications.
We concluded that trigeminal root compression is a safe and effective option for patients with primary TN without vascular compression.
Keywords
Blood Vessels/injuries, Facial Nerve Injuries/etiology, Female, Follow-Up Studies, Humans, Kaplan-Meier Estimate, Magnetic Resonance Imaging, Male, Microvascular Decompression Surgery/adverse effects, Microvascular Decompression Surgery/methods, Middle Aged, Postoperative Complications, Radiculopathy/surgery, Survival Analysis, Treatment Outcome, Trigeminal Nerve/surgery, Trigeminal Neuralgia/surgery, MRI, MVD, Magnetic resonance imaging, Microvascular decompression, TN, Trigeminal neuralgia, Trigeminal root compression
Pubmed
Web of science
Create date
21/10/2019 12:03
Last modification date
22/10/2019 5:26
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