Az MR-angiográfia szerepe a microvascularis dekompresszióval kezelt trigeminusneuralgiás betegek mutéti eredményé nek prognosztizálásában

Translated title of the contribution: The role of MR angiography in prediction of the operative results of microvascular decompression of patients with trigeminal neuralgia

Ádám Kuncz, E. Vörös, P. Barzó, J. Tajti, Péter Milassin, Mihály Bodosi

Research output: Contribution to journalArticle

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Abstract

Introduction and objects: The results of medium-term outcome of microvascular decompression (MVD) for trigeminal neuralgia are presented. The authors compare the preoperative 3-dimension magnetic resonance angiography (MRA) results with the surgical findings during MVD. Information, provided by MRA, are evaluated regarding to the prognostic significance in typical TN, atypical TN and persistent idiopathic facial pain (PIFP). The significance of clinical symptoms and the type of neurovascular compression (NC) are investigated in respect of the postoperative success and recurrent symptoms. Methods and results: MRA was performed in 310 consecutive patients with TN and PIFP. The MRA image was positive in 179 (58%) of the 310 cases. 68,2% of the typical TN group, 49,2% of the atypical TN group and 3,2% of the PIFP group were positive. MVD was performed in 116 of the MRA positive cases. Four years following the MVD, 69% of the patients gave an excellent and 23% a good result. The surgical findings corresponded with the MRA images. NC could be ruled out in the background of PIFP. The rate of recurrent symptoms following MVD is 21% in the typical TN group while it is 41% in the atypical TN group. The pure venous compression showed 57% pain-recurrence rate following MVD. Conclusions. The clinical symptoms and preoperative MRA carry considerable information, which can predict the outcome of the MVD and the rate of recurrent symptoms. Atypical TN and venous compression are bad prognostic factors.

Original languageHungarian
Pages (from-to)2595-2602
Number of pages8
JournalOrvosi Hetilap
Volume146
Issue number51
Publication statusPublished - 2005

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Microvascular Decompression Surgery
Trigeminal Neuralgia
Magnetic Resonance Angiography
Angiography
Facial Pain
Recurrence
Pain

ASJC Scopus subject areas

  • Medicine(all)

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Az MR-angiográfia szerepe a microvascularis dekompresszióval kezelt trigeminusneuralgiás betegek mutéti eredményé nek prognosztizálásában. / Kuncz, Ádám; Vörös, E.; Barzó, P.; Tajti, J.; Milassin, Péter; Bodosi, Mihály.

In: Orvosi Hetilap, Vol. 146, No. 51, 2005, p. 2595-2602.

Research output: Contribution to journalArticle

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title = "Az MR-angiogr{\'a}fia szerepe a microvascularis dekompresszi{\'o}val kezelt trigeminusneuralgi{\'a}s betegek mut{\'e}ti eredm{\'e}ny{\'e} nek prognosztiz{\'a}l{\'a}s{\'a}ban",
abstract = "Introduction and objects: The results of medium-term outcome of microvascular decompression (MVD) for trigeminal neuralgia are presented. The authors compare the preoperative 3-dimension magnetic resonance angiography (MRA) results with the surgical findings during MVD. Information, provided by MRA, are evaluated regarding to the prognostic significance in typical TN, atypical TN and persistent idiopathic facial pain (PIFP). The significance of clinical symptoms and the type of neurovascular compression (NC) are investigated in respect of the postoperative success and recurrent symptoms. Methods and results: MRA was performed in 310 consecutive patients with TN and PIFP. The MRA image was positive in 179 (58{\%}) of the 310 cases. 68,2{\%} of the typical TN group, 49,2{\%} of the atypical TN group and 3,2{\%} of the PIFP group were positive. MVD was performed in 116 of the MRA positive cases. Four years following the MVD, 69{\%} of the patients gave an excellent and 23{\%} a good result. The surgical findings corresponded with the MRA images. NC could be ruled out in the background of PIFP. The rate of recurrent symptoms following MVD is 21{\%} in the typical TN group while it is 41{\%} in the atypical TN group. The pure venous compression showed 57{\%} pain-recurrence rate following MVD. Conclusions. The clinical symptoms and preoperative MRA carry considerable information, which can predict the outcome of the MVD and the rate of recurrent symptoms. Atypical TN and venous compression are bad prognostic factors.",
keywords = "Magnetic resonance angiography, Microvascular decompression, Trigeminal neuralgia",
author = "{\'A}d{\'a}m Kuncz and E. V{\"o}r{\"o}s and P. Barz{\'o} and J. Tajti and P{\'e}ter Milassin and Mih{\'a}ly Bodosi",
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T1 - Az MR-angiográfia szerepe a microvascularis dekompresszióval kezelt trigeminusneuralgiás betegek mutéti eredményé nek prognosztizálásában

AU - Kuncz, Ádám

AU - Vörös, E.

AU - Barzó, P.

AU - Tajti, J.

AU - Milassin, Péter

AU - Bodosi, Mihály

PY - 2005

Y1 - 2005

N2 - Introduction and objects: The results of medium-term outcome of microvascular decompression (MVD) for trigeminal neuralgia are presented. The authors compare the preoperative 3-dimension magnetic resonance angiography (MRA) results with the surgical findings during MVD. Information, provided by MRA, are evaluated regarding to the prognostic significance in typical TN, atypical TN and persistent idiopathic facial pain (PIFP). The significance of clinical symptoms and the type of neurovascular compression (NC) are investigated in respect of the postoperative success and recurrent symptoms. Methods and results: MRA was performed in 310 consecutive patients with TN and PIFP. The MRA image was positive in 179 (58%) of the 310 cases. 68,2% of the typical TN group, 49,2% of the atypical TN group and 3,2% of the PIFP group were positive. MVD was performed in 116 of the MRA positive cases. Four years following the MVD, 69% of the patients gave an excellent and 23% a good result. The surgical findings corresponded with the MRA images. NC could be ruled out in the background of PIFP. The rate of recurrent symptoms following MVD is 21% in the typical TN group while it is 41% in the atypical TN group. The pure venous compression showed 57% pain-recurrence rate following MVD. Conclusions. The clinical symptoms and preoperative MRA carry considerable information, which can predict the outcome of the MVD and the rate of recurrent symptoms. Atypical TN and venous compression are bad prognostic factors.

AB - Introduction and objects: The results of medium-term outcome of microvascular decompression (MVD) for trigeminal neuralgia are presented. The authors compare the preoperative 3-dimension magnetic resonance angiography (MRA) results with the surgical findings during MVD. Information, provided by MRA, are evaluated regarding to the prognostic significance in typical TN, atypical TN and persistent idiopathic facial pain (PIFP). The significance of clinical symptoms and the type of neurovascular compression (NC) are investigated in respect of the postoperative success and recurrent symptoms. Methods and results: MRA was performed in 310 consecutive patients with TN and PIFP. The MRA image was positive in 179 (58%) of the 310 cases. 68,2% of the typical TN group, 49,2% of the atypical TN group and 3,2% of the PIFP group were positive. MVD was performed in 116 of the MRA positive cases. Four years following the MVD, 69% of the patients gave an excellent and 23% a good result. The surgical findings corresponded with the MRA images. NC could be ruled out in the background of PIFP. The rate of recurrent symptoms following MVD is 21% in the typical TN group while it is 41% in the atypical TN group. The pure venous compression showed 57% pain-recurrence rate following MVD. Conclusions. The clinical symptoms and preoperative MRA carry considerable information, which can predict the outcome of the MVD and the rate of recurrent symptoms. Atypical TN and venous compression are bad prognostic factors.

KW - Magnetic resonance angiography

KW - Microvascular decompression

KW - Trigeminal neuralgia

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