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Instituto Nacional de Neurología y Neurocirugía

2015, Number 1

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Arch Neurocien 2015; 20 (1)

Microvascular decompression in trigeminal neuralgia and multiple sclerosis

Revuelta-Gutiérrez R, Navarro-Bonnet J, Molina-Choez D, Flores-Rivera JJ, Martínez-Manrique JJ, Martínez-Anda JJ

Language: Spanish
References: 8
Page: 95-98
PDF size: 824.11 Kb.


ABSTRACT

Trigeminal neuralgia in multiple sclerosis, kwon as symptomatic trigeminal neuralgia (STN), is present in 3% of multiple sclerosis patients. Despite the fact that a demyelinating plaque near the trigeminal system in the brainstem is accepted as the pathophysiological mechanism, it has been proved a vascular compressive component as well, that has made considered microvascular decompression (MVD) an effective treatment in these patients. We present the case of a 32 years old male with diagnosis of secondary progressive multiple sclerosis and brainstem lesions, associated with STN treated by MVD achieving an excellent pain control.


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