Document Detail


Microvascular decompression as a treatment for cranial nerve hyperactive dysfunction--a critical view.
MedLine Citation:
PMID:  17419825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neurovascular compression has been postulated as a probable mechanism for a large number of cranial nerve syndromes, with trigeminal neuralgia (TGN) as the prime example. Microvascular decompression (MVD) is often cited as the procedure of choice for treatment of medically refractory TGN. Arguments against these assumptions are: MRA studies indicate that vascular contact with the trigeminal nerve is present in most healthy individuals. Treatment results of MVD in multiple sclerosis patients with TGN are almost as good (at least in the short term) as in idiopathic cases. MVD is reported to provide pain relief even in TGN patients without visible neurovascular contact . In other syndromes of cranial nerve'hyperactive dysfunction'--vertigo, tinnitus and neurogenic hypertension--the documentation is even weaker.
Authors:
P Monstad
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta neurologica Scandinavica. Supplementum     Volume:  187     ISSN:  0065-1427     ISO Abbreviation:  Acta Neurol. Scand., Suppl.c     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-10     Completed Date:  2007-07-06     Revised Date:  2012-05-07    
Medline Journal Info:
Nlm Unique ID:  0370337     Medline TA:  Acta Neurol Scand Suppl     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  30-3     Citation Subset:  IM    
Affiliation:
Spesialistsenteret AS, Tollbodgt Kristiansand, Norway. per.monstad@tele2.no
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MeSH Terms
Descriptor/Qualifier:
Cerebral Arteries / pathology,  physiopathology,  surgery
Cranial Nerve Diseases / etiology,  physiopathology*,  surgery*
Cranial Nerves / pathology,  physiopathology,  surgery
Decompression, Surgical / methods,  standards*,  trends
Herpes Simplex / complications,  physiopathology
Humans
Microsurgery / methods,  standards*,  trends
Postoperative Complications / epidemiology
Trigeminal Neuralgia / etiology,  physiopathology,  surgery
Vascular Surgical Procedures / methods,  standards*,  trends

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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