Microvascular decompression for trigeminal neuralgia: recurrences and complications

Clinical outcome following micro-vascular decompression for trigeminal neuralgia

“…Thereafter, Barker et al, emphasized MVD by demonstrating a 70% cure rate in a 10 year follow-up study 4 . Pain relief by MVD is higher (80%) in patients with typical Trigeminal neuralgia than in patients with atypical Trigeminal neuralgia (56%).…”

Effect of Various Surgical Modalities in Recurrent or Persistent Trigeminal Neuralgia

“…The selection of an appropriate treatment is usually based on the presence of offender, medical condition, age, the history of previous surgery, pain severity, pain distribution and patient's preference. However, controversy exists regarding the best initial treatment and the optimal policy in cases of recurrent or persistent TN following initial surgery [1][2][3][4][5][6][7][8][9][10][15][16][17] .…”

“…The rate of recurrence or persistence after MVD can increase in patients with venous compression, no offending vessel, and preoperative symptom duration of more than 8 years. TN caused by venous compression has been associated with frequent recurrence due to recollateralization and recanalization of vein [1,13,14,17,18] . Although partial sensory rhizotomy is usually performed in patients with no offender, the recurrence rate is reported to be high [8] .…”

Классическая Невралгия Тройничного Нерва

“…Накладываются швы на мышцы, апоневроз и кожу. зываются: необходимость правильного подбора больных для МВД, необнаружение сосудисто-нервного конфликта при ревизии КТН, развитие конфликта после МВД, предшествующие MВД деструк-тивные вмешательства на тройничном нерве [14,270,337,360]. Нейрохирурги, располагающие большим опытом MВД, подчерки-вают, что при артериальной компрессии корешка отдаленные ре-зультаты лучше, чем при венозной [14,152,153,172,173].…”