Title: Microvascular decompression for idiopathic trigeminal neuralgia
Abstract: Objective To propose that microvascular decompression is an optimal operation for idiopathic trigeminal neuralgia.Methods A total of 12 patients with idiopathic trigeminal neuralgia who underwent(microvascular) decompression were reported.Roots of nerve were compressed by arteries at root entry zone in 11(cases) and all compressed were separated from offending vessels.Fibrin sponge or Teflon felt was interposed(between) each root and offending vessels and the separation was maintained.All patients obtained complete relief from pain after operation except for one patient with just reduction of pain.No abnormal vessel was found in the other one,however,adhesion was found at the distant segment of the root and it was loosened to set the root free.Results All patients had got postoperative relief from pain.No complications occurred in all cases.(Conclusion)Microvascular(decompression) for patients with idiopathic trigeminal neuralgia is by far the operation superior to others which wipes off(pathogeny).Remicrovascular decompression for patients who accepted the first(microvascular) decompression can also achieve satisfactory outcome.It is also considered that endoscope-assisted microvascular decompression is(consistent) with the trend of current microinvasive surgery and will be hopefully(applied) to more patients with idiopathic(trigeminal) neuralgia.
Publication Year: 2006
Publication Date: 2006-01-01
Language: en
Type: article
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