Microvascular decompression for trigeminal neuralgia. Surgical technique and long-term results.
In summary, it can be concluded that MVD has a long-term success rate equal or superior to percutaneous procedures without the higher rate of permanent neurologic sequelae. It is a safe operation with an almost negligible mortality and low morbidity in skilled hands. If the goal in the treatment of TGN remains obtaining a pain-free state without the need for medication and no permanent neurologic deficit, then MVD remains the definitive procedure of choice for typical TGN.
Lovely
T J
TJ
Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania, USA.
Jannetta
P J
PJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011187:Posture; D019051:Rhizotomy / Q000379:methods; D016896:Treatment Outcome; D014277:Trigeminal Neuralgia / Q000601:surgery*