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Erschienen in: Acta Neurochirurgica 2/2015

01.02.2015 | Clinical Article - Functional

Trigeminal root compression for trigeminal neuralgia in patients with no vascular compression

verfasst von: Jian Cheng, Ding Lei, Heng Zhang, Ke Mao

Erschienen in: Acta Neurochirurgica | Ausgabe 2/2015

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Abstract

Background

Trigeminal neuralgia (TN) may be present in the absence of vascular compressiom, and surgical treatment in these cases is controversial. Our objective is to evaluate the efficacy and safety of trigeminal root compression in this situation.

Methods

A prospective collection of clinical data on all patients diagnosed with idiopathic TN in our institution. Cases with no visible offending vessel intraoperatively were included in this study. These patients underwent trigeminal root compression and long-term follow-up. The basic characteristics and outcomes were analyzed.

Results

From February 2005 to November 2010, 381 patients underwent microvascular decompression for TN at our department. Among them, 28(7.3 %) patients (17 female, 11 male) had no visible vascular compression intraoperatively. The median observation period was 46 months (range, 8–60 months). Twenty patients (71.4 %) achieved complete pain relief without medication immediately postoperatively. However, the recurrence rate was 38.4 %, and only 13 patients (46.4 %) achieved complete pain relief without medication at follow-up. Ten patients (35.7 %) developed some degree of facial numbness, which was transient in six cases (21.4 %) and permanent in four (14.3 %).

Conclusions

Although trigeminal root compression provides good initial pain relief, the long-term efficacy, complication and recurrence rates are far from satisfactory. Further studies are needed to explore the possible mechanisms of underlying pain and to compare the outcomes of various types of interventions in cases without vascular compression.
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Metadaten
Titel
Trigeminal root compression for trigeminal neuralgia in patients with no vascular compression
verfasst von
Jian Cheng
Ding Lei
Heng Zhang
Ke Mao
Publikationsdatum
01.02.2015
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 2/2015
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-014-2300-9

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