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Acta Neurochirurgica

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01.09.2013 | Clinical Article - Vascular

Long-term results of microvascular decompression for trigeminal neuralgia and hemifacial spasms according to preoperative symptomatology

verfasst von: Tiril Sandel, Per Kristian Eide

Erschienen in: Acta Neurochirurgica | Ausgabe 9/2013

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Abstract

Background

Microvascular decompression (MVD) is currently used in several centres for the treatment of trigeminal neuralgia (TN) and hemifacial spasms (HFS). How long-term results relate to the preoperative symptoms still needs to be documented. The primary aim of this study was to assess long-term results of MVD for TN and HFS, as related to the types of preoperative symptoms.

Methods

We performed a retrospective study including all first-time MVDs for TN and HFS done during the 11-year period (1999–2009) in the Department of Neurosurgery, The National Hospital (Rikshospitalet), Oslo. The patients were categorized depending on the pre-operative symptomatology.

Results

The study population includes 303 first-time procedures performed by the senior author (PKE), 243 TN patients (65 % TN without constant pain and 35 % TN with constant pain) and 60 HFS patients (95 % typical HFS and 5 % atypical HFS). The patients were followed for a mean 71 months (range, 14–147). In both the TN and HFS patients, MVD caused lasting symptom relief in a high proportion of patients, including patients with atypical symptoms.

Conclusion

After MVD for TN and HFS, regardless of preoperative symptoms, lasting relief is observed in a high proportion of patients, with a favorable complication profile.

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Titel: Long-term results of microvascular decompression for trigeminal neuralgia and hemifacial spasms according to preoperative symptomatology
verfasst von: Tiril Sandel
Per Kristian Eide
Publikationsdatum: 01.09.2013
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 9/2013
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-013-1816-8

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