Document Detail


Microvascular decompression versus percutaneous procedures for typical trigeminal neuralgia: personal experience.
MedLine Citation:
PMID:  2080384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study includes 127 patients treated for typical trigeminal neuralgia, 74 of whom underwent a percutaneous microcompression (PMC), 33 a radiofrequency thermocoagulation (RFT) and 20 were explored for microvascular decompression (MVD). A mean follow-up of 24 months was reached by all the groups. Pain relief was evaluated as an 'all or none' effect. At hospital discharge, pain had disappeared in 93.2% of the patients treated with PMC, in 81.8% of those treated with RFT, and in 85% of the MVD group. At 24 months the effect was maintained by 57.2% of the PMC group, 57.6% of the RFT, and by 75% of the MVD group. Marked dysesthesia was reported by 6.7% of the patients treated with PMC, and by 24.2% of those who received a RFT. Impairment of masticatory function was observed in 10% of the PMC patients. Ipsilateral hypoacusia and transient IV nerve palsy in 1 patient was the only major complication after MVD.
Authors:
M Meglio; B Cioni; A Moles; M Visocchi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  54-55     ISSN:  1011-6125     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  1990  
Date Detail:
Created Date:  1991-04-26     Completed Date:  1991-04-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  76-9     Citation Subset:  IM    
Affiliation:
Istituto di Neurochirurgia, Università Cattolica, Roma, Italia.
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MeSH Terms
Descriptor/Qualifier:
Electrocoagulation / methods
Humans
Microsurgery / methods*
Nerve Compression Syndromes / surgery*
Pain Measurement
Pain, Postoperative / diagnosis
Pressure
Trigeminal Ganglion / surgery
Trigeminal Neuralgia / surgery*
Trigeminal Nuclei / surgery

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


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