Summary
A series of 66 patients with trigeminal neuralgia (TN) treated by microvascular decompression (MVD) is analyzed in order to define the importance of various prognostic factors. A typical pattern of pain, presence of facial hypaesthesia and previous ablative trigeminal procedures showed an unfavourable influence on the results of MVD. Duration of symptoms was longer in patients who failed to benefit from MVD. Pain distribution and the type of vascular compression did not influence the outcome.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adams CBT (1989) Microvascular compression: An alternative view and hypothesis. J Neurosurg 70: 1–12
Apfelbaum RI (1984) Surgery for tic douloureux. Clin Neurosurg 31: 351–368
Barba D, Alksne JF (1984) Success of microvascular decompression with and without prior surgical therapy for trigeminal neuralgia. J Neurosurg 60: 104–107
Bederson JB, Wilson CB (1989) Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71: 359–367
Burchiel KJ, Clarke H, Haglund M, Loeser JD (1988) Longterm efficacy of microvascular decompression in trigeminal neuralgia. J Neurosurg 69: 35–38
Jannetta PJ (1990) Microsurgical decompression of the trigeminal nerve root entry zone. In: Rovit RL, Murali R, Jannetta PJ (eds) Trigeminal neuralgia. Williams and Wilkins, Baltimore, pp 201–222
Klun B (1992) Microvascular decompression and partial sensory rhizotomy in the treatment of trigeminal neuralgia: Personal experience with 220 patients. Neurosurgery 30: 49–52
Latchaw JP Jr, Hardy RW Jr, Forsythe SB, Cook AF (1983) Trigeminal neuralgia treated by radiofrequency coagulation. J Neurosurg 59: 479–484
Meglio M, Cioni B, Moles A, Visocchi M (1990) Microvascular decompression versus percutaneous procedures for typical trigeminal neuralgia: Personal experience. Stereotact Funct Neurosurg 54 and 55: 76–79
Moller AR (1991) The cranial nerve vascular compression syndrome. I. A review of treatment. Acta Neurochir (Wien) 113: 18–23
Morley TP (1985) Case against microvascular decompression in the treatment of trigeminal neuralgia. Arch Neurol 42: 801–802
Sanders M, Henny CP (1992) Results of selective percutaneous Microvascular Decompression for Trigeminal Neuralgia 167 controlled radiofrequency lesion for treatment of trigeminal neuralgia in 240 patients. The Clinical Journal of Pain 8: 23–27
Sweet WH (1986) The treatment of trigeminal neuralgia (tic douloureux). N Engl J Med 315: 174–177
Szapiro J, Jr, Sindou M, Szapiro J (1985) Prognostic factors in microvascular decompression for trigeminal neuralgia. Neurosurgery 17: 920–929
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Wien
About this paper
Cite this paper
Puca, A., Meglio, M., Cioni, B., Visocchi, M., Vari, R. (1993). Microvascular Decompression for Trigeminal Neuralgia: Prognostic Factors. In: Meyerson, B.A., Broggi, G., Martin-Rodriguez, J., Ostertag, C., Sindou, M. (eds) Advances in Stereotactic and Functional Neurosurgery 10. Acta Neurochirurgica, vol 58. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9297-9_38
Download citation
DOI: https://doi.org/10.1007/978-3-7091-9297-9_38
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-9299-3
Online ISBN: 978-3-7091-9297-9
eBook Packages: Springer Book Archive