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Microvascular Decompression for Treatment of Trigeminal Neuralgia

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Trigeminal Nerve Pain

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Abstract

Microvascular decompression is one of the most well-established treatments for trigeminal neuralgia. Over the past few decades, the popularity of the treatment has risen due to the effectiveness of the treatment and the relatively mild associated side effects. Large case series with long-term follow-up provide evidence to support microvascular decompression as a primary treatment strategy in appropriately selected patients failing medical management.

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References

  1. Zakrzewska JM, Coakham HB. Microvascular decompression for trigeminal neuralgia: update. Curr Opin Neurol. 2012;25:296–301.

    Article  PubMed  Google Scholar 

  2. Nova CV, Zakrzewska JM, Baker SR, Riordain RN. Treatment outcomes in trigeminal neuralgia—a systematic review of domains, dimensions and measures. World Neurosurg X. 2020;6:100070.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Patel SK, Liu JK. Overview and history of trigeminal neuralgia. Neurosurg Clin N Am. 2016;27:265–76.

    Article  PubMed  Google Scholar 

  4. Magown P, Ko AL, Burchiel KJ. The spectrum of trigeminal neuralgia without neurovascular compression. Neurosurgery. 2019;85:E553–9.

    Article  PubMed  Google Scholar 

  5. Kaufmann AM, Price AV. A history of the Jannetta procedure. J Neurosurg. 2019;132:639–46.

    Article  PubMed  Google Scholar 

  6. Holste K, Chan AY, Rolston JD, Englot DJ. Pain outcomes following microvascular decompression for drug-resistant trigeminal neuralgia: a systematic review and meta-analysis. Neurosurgery. 2020;86:182–90.

    Article  PubMed  Google Scholar 

  7. Burchiel KJ. A new classification for facial pain. Neurosurgery. 2003;53:1164–6; discussion 1166–7.

    Article  PubMed  Google Scholar 

  8. Seeburg DP, Northcutt B, Aygun N, Blitz AM. The role of imaging for trigeminal neuralgia: a segmental approach to high-resolution MRI. Neurosurg Clin N Am. 2016;27:315–26.

    Article  PubMed  Google Scholar 

  9. Hughes MA, Frederickson AM, Branstetter BF, Zhu X, Sekula RF Jr. MRI of the trigeminal nerve in patients with trigeminal neuralgia secondary to vascular compression. AJR Am J Roentgenol. 2016;206:595–600.

    Article  PubMed  Google Scholar 

  10. Leal PRL, et al. Preoperative demonstration of the neurovascular compression characteristics with special emphasis on the degree of compression, using high-resolution magnetic resonance imaging: a prospective study, with comparison to surgical findings, in 100 consecutive patients who underwent microvascular decompression for trigeminal neuralgia. Acta Neurochir. 2010;152:817–25.

    Article  PubMed  Google Scholar 

  11. Ko AL, et al. Long-term efficacy and safety of internal neurolysis for trigeminal neuralgia without neurovascular compression. J Neurosurg. 2015;122:1048–57.

    Article  PubMed  Google Scholar 

  12. Jannetta PJ, McLaughlin MR, Casey KF. Technique of microvascular decompression. Technical note. Neurosurg Focus. 2005;18:E5.

    PubMed  Google Scholar 

  13. Tomasello F, et al. Microvascular decompression for trigeminal neuralgia: technical refinement for complication avoidance. World Neurosurg. 2016;94:26–31.

    Article  PubMed  Google Scholar 

  14. Cohen-Gadol AA. Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: naunces of the technique based on experiences with 100 patients and review of the literature. Clin Neurol Neurosurg. 2011;113:844–53.

    Article  PubMed  Google Scholar 

  15. Forbes J, Cooper C, Jermakowicz W, Neimat J, Konrad P. Microvascular decompression: salient surgical principles and technical nuances. J Vis Exp. 2011;5(53):e2590.

    Google Scholar 

  16. Sekula RF Jr, et al. Microvascular decompression for elderly patients with trigeminal neuralgia: a prospective study and systematic review with meta-analysis. J Neurosurg. 2011;114:172–9.

    Article  PubMed  Google Scholar 

  17. Javadpour M, Eldridge PR, Varma TRK, Miles JB, Nurmikko TJ. Microvascular decompression for trigeminal neuralgia in patients over 70 years of age. Neurology. 2003;60:520.

    Article  CAS  PubMed  Google Scholar 

  18. Pollock BE, Stien KJ. Posterior fossa exploration for trigeminal neuralgia patients older than 70 years of age. Neurosurgery. 2011;69:1255–9; discussion 1259–60.

    Article  PubMed  Google Scholar 

  19. Sindou M, Fobé JL, Ciriano D, Fischer C. Hearing prognosis and intraoperative guidance of brainstem auditory evoked potential in microvascular decompression. Laryngoscope. 1992;102:678–82.

    Article  CAS  PubMed  Google Scholar 

  20. Friedman WA, Kaplan BJ, Gravenstein D, Rhoton AL Jr. Intraoperative brain-stem auditory evoked potentials during posterior fossa microvascular decompression. J Neurosurg. 1985;62:552–7.

    Article  CAS  PubMed  Google Scholar 

  21. Radtke RA, Erwin CW, Wilkins RH. Intraoperative brainstem auditory evoked potentials: significant decrease in postoperative morbidity. Neurology. 1989;39:187–91.

    Article  CAS  PubMed  Google Scholar 

  22. Narayan V, et al. Safety profile of superior petrosal vein (the vein of Dandy) sacrifice in neurosurgical procedures: a systematic review. Neurosurg Focus. 2018;45:E3.

    Article  PubMed  Google Scholar 

  23. Pressman E, et al. TeflonTM or Ivalon®: a scoping review of implants used in microvascular decompression for trigeminal neuralgia. Neurosurg Rev. 2020;43:79–86.

    Article  PubMed  Google Scholar 

  24. Liu J, et al. Biomedical glue sling technique in microvascular decompression for trigeminal neuralgia caused by atherosclerotic vertebrobasilar artery: a description of operative technique and clinical outcomes. World Neurosurg. 2019;128:e74–80.

    Article  PubMed  Google Scholar 

  25. Steinberg JA, et al. Tentorial sling for microvascular decompression in patients with trigeminal neuralgia: a description of operative technique and clinical outcomes. J Neurosurg. April 1;2018:1–6. https://doi.org/10.3171/2017.10.JNS17971.

  26. Mendelson ZS, et al. Pain-free outcomes and durability of surgical intervention for trigeminal neuralgia: a comparison of gamma knife and microvascular decompression. World Neurosurg. 2018;112:e732–46.

    Article  PubMed  Google Scholar 

  27. Sharma R, et al. Microvascular decompression versus stereotactic radiosurgery as primary treatment modality for trigeminal neuralgia: a systematic review and meta-analysis of prospective comparative trials. Neurol India. 2018;66:688–94.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. University of Wisconsin-Madison, Madison, WI, USA

    Wendell Lake

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  1. Wendell Lake
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Correspondence to Wendell Lake .

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Editors and Affiliations

  1. Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

    Alaa Abd-Elsayed

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Lake, W. (2021). Microvascular Decompression for Treatment of Trigeminal Neuralgia. In: Abd-Elsayed, A. (eds) Trigeminal Nerve Pain. Springer, Cham. https://doi.org/10.1007/978-3-030-60687-9_19

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  • DOI: https://doi.org/10.1007/978-3-030-60687-9_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-60686-2

  • Online ISBN: 978-3-030-60687-9

  • eBook Packages: MedicineMedicine (R0)

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