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2017, Number 1

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Rev Cubana Neurol Neurocir 2017; 7 (1)

Microvascular decompression for essential trigeminal neuralgia

Cruz HTM, López PO, Pérez RC, Domínguez JP, Selva IJC

Language: Spanish
References: 56
Page: 43-49
PDF size: 423.14 Kb.


ABSTRACT

Objective: To determine the outcome of microvascular decompression surgery (MVD) in patients with diagnosis of trigeminal essential neuralgia uncontrolled by medical treatment.
Methods: A retrospective study was carried out in a sample of trigeminal essential neuralgia uncontrolled by medical treatment in “Lucía Iñiguez Landín” y “Hermanos Ameijeiras” Clinic-Surgical Hospital between January of 2001 and march 2016. Variables like; age, gender, neural root affect, intraoperative vascular finding, complication and recurrence of pain were analyzed.
Results: The sample included 61 patients. There was a female predominance. The most frequent age group was between 50 to 60 years old. The trigeminal root more affected was the V2 and the association V2-V3 with 21,5 % (11) and 43,1 % (22) respectively. The wound infection and cerebrospinal fluid leak was the main complication with 13,7 % (7) and 9,8 % (5) We have found intraoperative vascular compression in 60,3 % (31), always related to the Superior Cerebellar Artery. There was not recurrence in 88 % (45) patients.
Conclusions: The MVD is an effective technique, so much, to relief pain, like to preserve neural structure, with low incidence of pain recurrence.


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