Tratamiento quirúrgico de la neuralgia del trigémino: Experiencia en 10 años / Surgical treatment of trigeminal neuralgia: A 10 years experience
Rev. argent. neurocir
;
22(3): 125-127, jul.-sept. 2008. ilus, graf
Artículo
en Español
| LILACS
| ID: lil-515634
ABSTRACT
Introduction. Surgical treatment of trigeminal neuralgia remains a matter of debate since there are no studies comparing long term effectiveness of the different surgical techniques. We present our 10 year experience. Description. Series 40 patients. Period 1998 - 2008. Surgical techniques microvascular decompression, radiofrequency thermorhizotomy and balloon compression. Analyzed parameters age, sex, nerve root involved, pain relief, recurrence, complications, need to restart medication and reintervention. Discussion. Microvascular decompression offers better long term results, radiofrequency is adequate for special cases (higher recurrence rate), and balloon compression is better for V1 neuralgia. Our sample is too small for statistics, yet our findings are coincident with the literature. Conclusion. Better patient selection criteria for each technique are needed. Microvascular decompression should be the treatment of choice when possible. How to treat recurrence remains unanswered.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Neuralgia del Trigémino
/
Microcirugia
/
Neurofisiología
Idioma:
Español
Revista:
Rev. argent. neurocir
Asunto de la revista:
Neurocirugía
Año:
2008
Tipo del documento:
Artículo
País de afiliación:
Argentina
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