| Treatment of atypical trigeminal neuralgia with microvascular decompression. | |
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MedLine Citation:
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PMID: 16679644 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: 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. |
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Authors:
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Jian Hai; Shi-Ting Li; Qing-Gang Pan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neurology India Volume: 54 ISSN: 0028-3886 ISO Abbreviation: Neurol India Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-05-08 Completed Date: 2006-07-19 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0042005 Medline TA: Neurol India Country: India |
Other Details:
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Languages: eng Pagination: 53-6; discussion 57 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Tongji Hospital, Tongji University, Shanghai - 200065, China. haijiandoc@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Decompression, Surgical / methods* Female Humans Male Microcirculation* Middle Aged Nerve Compression Syndromes / complications, surgery* Retrospective Studies Trigeminal Neuralgia / complications, surgery* |
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