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MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA

Year 2005, Volume: 2 Issue: 3, 114 - 119, 01.09.2005

Abstract

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References

  • Ecker AD. The cause of the trigeminal neuralgia. Med Hypotheses 2004;62:520
  • Abdeen K, Kato Y. Kiya N, Yoshida K, Kanno T. Neuroendoscopy in microvacular decompression for trigeminal neuralgia and hemifacial spasm technical note. Neurol Res 2000;22:522-6
  • Kamishima K, Umehara F, Kasio N et al. Magnetic resonance tomographic angiography diagnostic value in trigeminal neuralgia. Neuroradiology 1995;37:353-5
  • Arthur MG. Improved visualization of the foramen ovale for percutaneous approaches to the gasserian ganglion J Neurosurg 1994;80:156-9
  • Barker FG, Jennatta PJ, Bissonette DJ, Larkins MV, Jho HD. The long-term outcome microvascular decompression for trigeminal neuralgia. N Engl J Med 1996; 334:1077-83
  • Cho DY, Chang CGS, Wang YC. Repeat operations in failed microvascular decompression for trigeminal neuralgia. Neurosurgery 1994;35: 665-70
  • Janetta PJ, Marc RM, Brent LC. Microvascular decompression of the trigeminal nerves. J Neurosurg 1999;90: 1-8
  • Jannetta PJ. Microvascular decompression of the trigeminal nevre for tic douloreux, in Youmans-Neurological Surgery.Saunders Company, Fourth edition, 1996, volum 5 pages 3404-15
  • Sunn HL, Elad IL, Alan MS, Amin K. attributable to veins after microvasculer decompresyon Neurosurgery 2000;46: 356-62 neuralgia
  • Cruccu G. Idiopathic and symptomatic trigeminal pain. J Neurol Neurosurg Psychiatry 1990; 53: 1034-1042
  • Ishwar CP, M.Ch, Moss T. Teflon- induced granuloma following treatment of trigeminal neuralgia by microvascular decompression. Neurosurg 1997;87:454-7
  • Kim JB, Konstantin VS. On the natural history of trigeminal neuralgia. Neurosurgery 2000;46:152-5
  • Sjaastad O, Pareja JA, Zukerman JJ, Kruszewski P. Trigeminal neuralgia clinical manifestations of first division involvement. Headache1997:346-57
  • Zakrzewska J lopez BC.New techniques for surgical management of trigeminal neuralgia. Pain 2004;109:520
  • Gass A, Kitchen N, MacManus DG, Moseley IF, Hennerici MG, Miller DH, Trigeminal neuvralgia in patients with multiple sclerosis lesion localization with magnetic resonance imaging. Neurology 1997;49(4):1142-4 16. Young RF, Vermeulen SS, Grimm P, Blasko J, Posewith A. Gamma treatment idiopathic and tumor related. Neurology 1997;48(3):608-12 for trigeminal neuralgia
  • Brismann R. Gamma knife surgery with a dose of 75 to 76.8 gray for trigeminal neuralgia. J Neurosurg 2004;100:447-50
  • Waidhauser E, Steude U. Evaluation of patients wiyh atypical trigeminal neuralgia for permanent electrode implant by test stimulation of the ganglion gasseri. Stereotact Func Neurosurg 1994;62:304- 8
  • Wentz KU, Röther J, Scwartz A, Mattle HP, Edelman RR. Intracranial vertebrobasilar system MR angiography. Radiology 1994; 190:105-10
  • Burchiel KJ. Trigeminal neuropathic pain. Acta Neurochir Supp 1993;58:145-49

MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA

Year 2005, Volume: 2 Issue: 3, 114 - 119, 01.09.2005

Abstract

Aim: To evaluated 20 trigeminal neuralgia patients who were resistant to medical treatments underwent surgery between years 1997-2000 in our clinic. Methods: The surgical procedure was microvascular decompression with lateral suboccipital approach. Surgical results and complications were compared to other techniques with review of the literature. Twenty patients with a mean age of 55 underwent surgery, 12(12%) of them were female and 8(40%) of them were male. Results: Pain was on the left side in 11(55%) and on the right side in 9(45%) patients. Diagnosis of the trigeminal neuralgia was based on the followings: Response to carbamazepine treatment, analysis of the pain with a detailed history, neurological examination and radiological evaluation. 8 patients had a history of hypertension and none of the patients in entire group had a known diagnosis of multiple sclerosis. Pain was experienced mostly on V1,V2 and V2,V3. Cranial magnetic resonance imaging (MRI) was performed to all patients. The etiological factors were estimated as idiopathic or vascular compression in 19, and epidermoid tumor in 1 patient. Patients were operated in semisitting position with a mayfield and lateral suboccipital surgical approach was chosen. Microvascular decompression was applied in 15 patients by using teflon felt and in 4 patients by using goretex. The epidermoid tumor was evacuated in one patient. Superior cerebellar artery was found as the commonest artery that caused entry zone nerve compression. During the postoperative period of 4 months to 3.5 years the 15 (% 75) of the patients were pain-free without any medical treatment; 2(% 10) patients were pain-free on welltolerated medication and mild-pain without medication; 2(% 10) patients had no pain relief; and 1(% 5) patient was pain-free after the operation for more than 1 month followed by the recurrence of pain requiring medical or surgical therapy. Microvascular decompression technique has been suggested superior to alternative methods for its safety and efficacy without recurrence. Conclusion: Our results support the notion that microvascular decompression is the surgical treatment of choice for patients with trigeminal neuralgia who are younger than 70 year-old, have no risk for anesthesia and who are resistant to medical treatments. Key words: Trigeminal neuralgia, pain, microvascular decopression, trigeminal nerve

References

  • Ecker AD. The cause of the trigeminal neuralgia. Med Hypotheses 2004;62:520
  • Abdeen K, Kato Y. Kiya N, Yoshida K, Kanno T. Neuroendoscopy in microvacular decompression for trigeminal neuralgia and hemifacial spasm technical note. Neurol Res 2000;22:522-6
  • Kamishima K, Umehara F, Kasio N et al. Magnetic resonance tomographic angiography diagnostic value in trigeminal neuralgia. Neuroradiology 1995;37:353-5
  • Arthur MG. Improved visualization of the foramen ovale for percutaneous approaches to the gasserian ganglion J Neurosurg 1994;80:156-9
  • Barker FG, Jennatta PJ, Bissonette DJ, Larkins MV, Jho HD. The long-term outcome microvascular decompression for trigeminal neuralgia. N Engl J Med 1996; 334:1077-83
  • Cho DY, Chang CGS, Wang YC. Repeat operations in failed microvascular decompression for trigeminal neuralgia. Neurosurgery 1994;35: 665-70
  • Janetta PJ, Marc RM, Brent LC. Microvascular decompression of the trigeminal nerves. J Neurosurg 1999;90: 1-8
  • Jannetta PJ. Microvascular decompression of the trigeminal nevre for tic douloreux, in Youmans-Neurological Surgery.Saunders Company, Fourth edition, 1996, volum 5 pages 3404-15
  • Sunn HL, Elad IL, Alan MS, Amin K. attributable to veins after microvasculer decompresyon Neurosurgery 2000;46: 356-62 neuralgia
  • Cruccu G. Idiopathic and symptomatic trigeminal pain. J Neurol Neurosurg Psychiatry 1990; 53: 1034-1042
  • Ishwar CP, M.Ch, Moss T. Teflon- induced granuloma following treatment of trigeminal neuralgia by microvascular decompression. Neurosurg 1997;87:454-7
  • Kim JB, Konstantin VS. On the natural history of trigeminal neuralgia. Neurosurgery 2000;46:152-5
  • Sjaastad O, Pareja JA, Zukerman JJ, Kruszewski P. Trigeminal neuralgia clinical manifestations of first division involvement. Headache1997:346-57
  • Zakrzewska J lopez BC.New techniques for surgical management of trigeminal neuralgia. Pain 2004;109:520
  • Gass A, Kitchen N, MacManus DG, Moseley IF, Hennerici MG, Miller DH, Trigeminal neuvralgia in patients with multiple sclerosis lesion localization with magnetic resonance imaging. Neurology 1997;49(4):1142-4 16. Young RF, Vermeulen SS, Grimm P, Blasko J, Posewith A. Gamma treatment idiopathic and tumor related. Neurology 1997;48(3):608-12 for trigeminal neuralgia
  • Brismann R. Gamma knife surgery with a dose of 75 to 76.8 gray for trigeminal neuralgia. J Neurosurg 2004;100:447-50
  • Waidhauser E, Steude U. Evaluation of patients wiyh atypical trigeminal neuralgia for permanent electrode implant by test stimulation of the ganglion gasseri. Stereotact Func Neurosurg 1994;62:304- 8
  • Wentz KU, Röther J, Scwartz A, Mattle HP, Edelman RR. Intracranial vertebrobasilar system MR angiography. Radiology 1994; 190:105-10
  • Burchiel KJ. Trigeminal neuropathic pain. Acta Neurochir Supp 1993;58:145-49
There are 19 citations in total.

Details

Primary Language English
Journal Section Original Articles
Authors

Nebi Yılmaz This is me

Gökhan Akdemir This is me

Yavuz Akbay This is me

Yusuf Aslantürk This is me

Fikret Ergüngör This is me

Publication Date September 1, 2005
Published in Issue Year 2005 Volume: 2 Issue: 3

Cite

APA Yılmaz, N., Akdemir, G., Akbay, Y., Aslantürk, Y., et al. (2005). MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA. European Journal of General Medicine, 2(3), 114-119.
AMA Yılmaz N, Akdemir G, Akbay Y, Aslantürk Y, Ergüngör F. MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA. European Journal of General Medicine. September 2005;2(3):114-119.
Chicago Yılmaz, Nebi, Gökhan Akdemir, Yavuz Akbay, Yusuf Aslantürk, and Fikret Ergüngör. “MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA”. European Journal of General Medicine 2, no. 3 (September 2005): 114-19.
EndNote Yılmaz N, Akdemir G, Akbay Y, Aslantürk Y, Ergüngör F (September 1, 2005) MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA. European Journal of General Medicine 2 3 114–119.
IEEE N. Yılmaz, G. Akdemir, Y. Akbay, Y. Aslantürk, and F. Ergüngör, “MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA”, European Journal of General Medicine, vol. 2, no. 3, pp. 114–119, 2005.
ISNAD Yılmaz, Nebi et al. “MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA”. European Journal of General Medicine 2/3 (September 2005), 114-119.
JAMA Yılmaz N, Akdemir G, Akbay Y, Aslantürk Y, Ergüngör F. MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA. European Journal of General Medicine. 2005;2:114–119.
MLA Yılmaz, Nebi et al. “MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA”. European Journal of General Medicine, vol. 2, no. 3, 2005, pp. 114-9.
Vancouver Yılmaz N, Akdemir G, Akbay Y, Aslantürk Y, Ergüngör F. MICROVASCULAR DECOMPRESSION TREATMENT OF TRIGEMINAL NEURALGIA. European Journal of General Medicine. 2005;2(3):114-9.