Treatment of Trigeminal Neuralgia by Posterior-Fossa Microvascular Decompression

Cutbush, K and Atkinson, RL (1994) Treatment of Trigeminal Neuralgia by Posterior-Fossa Microvascular Decompression. Australian and New Zealand Journal of Surgery, 64 3: 173-176. doi:10.1111/j.1445-2197.1994.tb02171.x

Author Cutbush, K
Atkinson, RL
Title Treatment of Trigeminal Neuralgia by Posterior-Fossa Microvascular Decompression
Journal name Australian and New Zealand Journal of Surgery   Check publisher's open access policy
ISSN 0004-8682
Publication date 1994-03-01
Year available 1994
Sub-type Article (original research)
DOI 10.1111/j.1445-2197.1994.tb02171.x
Open Access Status Not yet assessed
Volume 64
Issue 3
Start page 173
End page 176
Total pages 4
Place of publication CARLTON
Language eng
Abstract A series of 109 cases of microvascular decompression for intractable trigeminal neuralgia was reviewed. Operations were performed by a single surgeon and cases were reviewed independently by the one author. The failure rate in this study was 17.6%. A further 6.5% of cases endured brief recurrences not requiring treatment. Two-thirds of significant recurrences occurred within the initial 12 months. Long-term complications were experienced in 7.4% of cases. There was one postoperative mortality occurring in a patient with a large fibroblastic meningioma invading the brain stem. The classic Jannetta approach was modified following the first 32 cases allowing the cerebellum to be depressed inferiorly with a subsequent decline in the rate of loss of hearing from 12.5 to 3.7%. In over 70% of cases an aberrant superior cerebellar artery was found compressing the fifth cranial nerve. Patients had dental work performed in an attempt to control the pain prior to operation in 44% of cases.
Keyword Microvascular Decompression
Trigeminal Nerve
Trigeminal Neuralgia
Vascular Compression
Percutaneous Microcompression
Tic Douloureux
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: ResearcherID Downloads - Archived
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