title: Twenty-five years experience in the treatment of trigeminal neuralgia. Comparison of three different operative procedures in forty-nine patients.
abstract: A series of 49 patients with trigeminal neuralgia (TN) were treated by three different surgical procedures: (1) peripheral ablative procedures in 10 patients; (2) percutaneous rhizotomy in 17 patients and (3) intracranial rhizotomy (IR) in 22 patients. On the basis of surgical treatment, the concept that neurovascular compression is a mechanical factor in the aetiology of TN was supported in 14 to 18 patients who underwent posterior fossa exploration. The results support the conclusion that retromastoid craniectomy with IR is the procedure of choice for the majority of patients with TN.
authors.affiliation: Department of Neurosurgery, Adnan Menderes University Medical Faculty, Aydin, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Turgut
authors.forename: K
authors.initials: K
authors.lastname: Benli
authors.forename: T
authors.initials: T
authors.lastname: Ozgen
authors.forename: S
authors.initials: S
authors.lastname: Sağlam
authors.forename: V
authors.initials: V
authors.lastname: Bertan
authors.forename: A
authors.initials: A
authors.lastname: Erbengi
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019051:Rhizotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014277:Trigeminal Neuralgia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*