Efficacy of Internal Neurolysis for Trigeminal Neuralgia without Vascular Compression.
J Neurol Surg A Cent Eur Neurosurg
; 82(4): 364-368, 2021 Jul.
Article
en En
| MEDLINE
| ID: mdl-33845508
ABSTRACT
BACKGROUND AND OBJECTIVE:
Trigeminal neuralgia is a common neurologic disease that seriously impacts a patient's quality of life. We retrospectively investigated the efficacy and safety of internal neurolysis (nerve combing) for trigeminal neuralgia without vascular compression. PATIENTS ANDMETHODS:
This study was a retrospective review of all patients with trigeminal neuralgia who were admitted between January 2014 and February 2019. A subgroup of 36 patients had no vascular compression at surgery and underwent internal neurolysis. Chart review and postoperative follow-up were performed to assess the overall outcomes of internal neurolysis.RESULTS:
Thirty-six patients were identified, with a mean age of 44.89 ± 7.90 (rang 31-65) years and a disease duration of 5.19 ± 2.61 years. The immediate postoperative pain relief (Barrow Neurological Institute [BNI] pain score of I or II) rate was 100%. The medium- to long-term pain relief rate was 91.7%. Three patients experienced recurrence. Facial numbness was the primary postoperative complication. Four patients with a score of III on the BNI numbness scale immediately after surgery had marked improvement at 6 months. No serious complications occurred.CONCLUSION:
Internal neurolysis is a safe and effective treatment for trigeminal neuralgia without vascular compression or clear responsible vessels.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dolor Postoperatorio
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Neuralgia del Trigémino
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Procedimientos Neuroquirúrgicos
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Hipoestesia
Tipo de estudio:
Evaluation_studies
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Prognostic_studies
Límite:
Adult
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Aged
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Neurol Surg A Cent Eur Neurosurg
Año:
2021
Tipo del documento:
Article
País de afiliación:
China