Trigeminus neuralgia kezelése microvascularis dekompresszióval.

Translated title of the contribution: Management of trigeminal neuralgia by microvascular decompression

A. Kuncz, Z. Mencser, E. Vörös, M. Bodosi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The experience with a series of 28 posterior fossa exploration and microvascular decompression for trigeminal neuralgia is presented. All the patients were treated with carbamazepine previously and some of them were operated on by destructive methods. The diagnostic work-up consisted of an accurate history, CT or MRI in all cases, and recently (in 17 cases) the vascular compression of the trigeminal nerve was demonstrated directly by MR angiography in the plane of the trigeminal nerve. Microvascular decompression was performed through a suboccipital retromastoid craniotomy. At the operations 21 arterial, 4 venous, 2 combined (arterial + venous) and 1 arachnoid band compression were found. The mean follow up was 30 months. Immediate pain relief was achieved in all cases but one, and there were two recurrences 6 and 12 months later (both of them were venous compression), which have been controllable medically since then. There were 3 permanent hypaesthesia of the face (one of them loss of corneal reflex), 2 hypacusis, 1 cerebrospinal fluid leakage and 1 cerebellar edema as complications. Microvascular decompression is a safe and effective treatment for trigeminal neuralgia and advised if the medical treatment is failed, the patient suitable for general anaesthesia, and there is the evidence of vascular compression of trigeminal nerve on MR angiography.

Original languageHungarian
Pages (from-to)2051-2055
Number of pages5
JournalOrvosi Hetilap
Volume138
Issue number33
Publication statusPublished - Aug 17 1997

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Microvascular Decompression Surgery
Trigeminal Neuralgia
Trigeminal Nerve
Blood Vessels
Angiography
Arachnoid
Blinking
Hypesthesia
Craniotomy
Carbamazepine
General Anesthesia
Edema
History
Recurrence
Pain
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kuncz, A., Mencser, Z., Vörös, E., & Bodosi, M. (1997). Trigeminus neuralgia kezelése microvascularis dekompresszióval. Orvosi Hetilap, 138(33), 2051-2055.

Trigeminus neuralgia kezelése microvascularis dekompresszióval. / Kuncz, A.; Mencser, Z.; Vörös, E.; Bodosi, M.

In: Orvosi Hetilap, Vol. 138, No. 33, 17.08.1997, p. 2051-2055.

Research output: Contribution to journalArticle

Kuncz, A, Mencser, Z, Vörös, E & Bodosi, M 1997, 'Trigeminus neuralgia kezelése microvascularis dekompresszióval.', Orvosi Hetilap, vol. 138, no. 33, pp. 2051-2055.
Kuncz A, Mencser Z, Vörös E, Bodosi M. Trigeminus neuralgia kezelése microvascularis dekompresszióval. Orvosi Hetilap. 1997 Aug 17;138(33):2051-2055.
Kuncz, A. ; Mencser, Z. ; Vörös, E. ; Bodosi, M. / Trigeminus neuralgia kezelése microvascularis dekompresszióval. In: Orvosi Hetilap. 1997 ; Vol. 138, No. 33. pp. 2051-2055.
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