title: Surgical treatment of recurrent trigeminal neuralgia.
abstract: In this retrospective investigation 7 patients operated on for recurrent trigeminal neuralgia via a suboccipital enlarged burr hole trepanation were evaluated. The intraoperative findings indicate that neo-compressive effects due to foreign material used during prior surgery are more important than adhesions around the nerve. Furthermore, the results of recurrent operations are encouraging as 6 of the 7 patients were painfree without additional neurological deficits.
authors.affiliation: Department of Neurosurgery, Ruhr-University-Bochum, Knappschaftskrankenhaus, Germany. Kirsten.Schmieder@ruhr-univ-bochum.de
authors.forename: K
authors.initials: K
authors.lastname: Schmieder
authors.forename: M
authors.initials: M
authors.lastname: Scholz
authors.forename: M
authors.initials: M
authors.lastname: Hardenack
authors.forename: A
authors.initials: A
authors.lastname: Harders
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005547:Foreign Bodies / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012008:Recurrence; D012086:Reoperation / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014207:Trephining / Q000009:adverse effects / Q000379:methods*; D014277:Trigeminal Neuralgia / Q000209:etiology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods