[Treatment of trigeminal neuralgia with microvascular decompression].

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  • Author(s): Sindou M;Sindou M; Leston JM; Le Guerinel C; Keravel Y
  • Source:
    Neuro-Chirurgie [Neurochirurgie] 2009 Apr; Vol. 55 (2), pp. 185-96. Date of Electronic Publication: 2009 Mar 28.
  • Publication Type:
    English Abstract; Journal Article; Review
  • Language:
    French
  • Additional Information
    • Transliterated Title:
      Traitement de la névralgie trigéminale par décompression vasculaire microchirurgicale.
    • Source:
      Publisher: Masson Country of Publication: France NLM ID: 0401057 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0028-3770 (Print) Linking ISSN: 00283770 NLM ISO Abbreviation: Neurochirurgie Subsets: MEDLINE
    • Publication Information:
      Original Publication: Paris : Masson
    • Subject Terms:
      Cerebral Revascularization* ; Decompression, Surgical*; Trigeminal Neuralgia/*surgery; Anticonvulsants/therapeutic use ; Blood Vessel Prosthesis ; Drug Resistance ; Humans ; Magnetic Resonance Imaging ; Prognosis ; Seizures/drug therapy ; Seizures/etiology ; Treatment Outcome ; Trigeminal Neuralgia/pathology
    • Abstract:
      Pure microvascular decompression (MVD) can cure (that is, no pain, no medication) primary trigeminal neuralgia (TN) caused by vascular compression in 75% of patients (90% when compression is pronounced), according to a Kaplan-Meier survival study at 15 years. MRI with high resolution evidences neurovascular conflicts with good reliability. The results were found to be significantly better when the prosthesis implanted to maintain the compressive vessel away was not touching the nerve. This argues in favor of a real decompressive mechanism of the MVD procedure, rather than a conduction block. Because pure MVD generally does not produce hypoesthesia in the painful territory, MVD is the first surgical therapeutic option for patients with neuralgia resistant to anticonvulsive medications.
    • Number of References:
      37
    • Accession Number:
      0 (Anticonvulsants)
    • Publication Date:
      Date Created: 20090331 Date Completed: 20090626 Latest Revision: 20090420
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.neuchi.2009.02.003
    • Accession Number:
      19329132