Microsurgical vascular decompression (MVD) in trigeminal and glosso-vago-pharyngeal neuralgias. A twenty year experience.
Report of the results of treatment in 1380 cases with trigeminal neuralgia and 14 cases with glosso-vago-pharyngeal neuralgia. Trigeminal neuralgia was treated by percutaneous thermorhizotomy in 960 cases and by open micro-approach to the cerebellopontine angle in 420 cases. In cases treated by microsurgical vascular decompression, cure rate was 91%, partial relief 5%, failure 4%. Recurrence occurred in 6%. Glossopharyngial neuralgia was treated by percutaneous thermocoagulation of the Andersch ganglion in 3 cases and by a direct approach to the jugular foramen in 11 cases, in 9 of them with micro-vascular decompression. With microsurgical vascular decompression, all cases had total pain relief without recurrence.
Sindou
M
M
Department of Neurosurgery, University of Lyon, Hôpital Neurologique, France.
Mertens
P
P
D005260:Female; D005930:Glossopharyngeal Nerve / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D016896:Treatment Outcome; D014277:Trigeminal Neuralgia / Q000503:physiopathology / Q000601:surgery*; D014630:Vagus Nerve / Q000503:physiopathology / Q000601:surgery*; D014656:Vascular Surgical Procedures