title: [Occlusion of maxillary artery in treatment of trigeminal neuralgia].
abstract: BACKGROUND
  This paper deals with a treating method of trigeminal neuralgia classified so far as idiopathic neuralgias and treated conservatively. The study was aimed at proving the compression of peripheral branches of N. trigeminus in those patients by vascular elements of A. maxillaris within the bone-ligament space of the scull and the face base.
  
  
  METHODS
  The study sample consisted of 76 patients having trigeminal neuralgia. The compression was proved by clinical examination, by angiography and electrophysiological investigations. Endovascular occlusion of A. maxillaris is the original method and it was carried out in selected patients.
  
  
  RESULTS
  This method was applied in 76 patients. Embolisation was done in 71 patients by using occlusion spiral and gelfoan was used in 3 patients. Externa carotid artery ligation was done in 2 cases.
  
  
  CONCLUSIONS
  The effect of absolute improvement has been achieved and verified by electrophysiological method and subjective assessment of the patients.
authors.affiliation: Klinika za neurohirurgiju, Klinicki centar Nis. v.novak@yahoo.com
authors.forename: Vesna
authors.initials: V
authors.lastname: Novak
authors.forename: Petar
authors.initials: P
authors.lastname: Bosnjaković
authors.forename: Sasa
authors.initials: S
authors.lastname: Ristić
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Kostić
authors.forename: Boban
authors.initials: B
authors.lastname: Jelenković
authors.forename: Martin
authors.initials: M
authors.lastname: Novak
mesh_terms: D002339:Carotid Arteries / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D006801:Humans; D008438:Maxillary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D014277:Trigeminal Neuralgia / Q000175:diagnosis / Q000628:therapy*