Trigeminal nerve compression technique for the treatment of trigeminal neuralgia: study of 80 cases in 10 years

Objective: To dtermine the outcome of trigeminal nerve compression technique [TGNC] treatment for the idiopathic trigeminal neuralgia without decompressing the nerve compressed by the offending vessel

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Methodology: This case series study was conducted in Hayatabad medical complex, Lady ready hospital and Abaseen hospital, Peshawar from June 2004 to June 2014. Consent from the ethical committee and patients were taken. All patients of idiopathic trigeminal neuralgia [TGN] were included. Those TGN cases having mass lesion were excluded. All information were put in proforma. Results were analyzed by SPSS version 20 and presented in the form of tables

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Results: Total number of patients included in the study were 80 in which males were 45 [56.25%] and females were 35 [43.75%]. Male to female ratio of 1.3:1 The ages ranged from 30 to 70 years and mean age was 50 +/-20. Detail history and clinical examination were performed. Routine investigations of complete blood count, HBsAg, HCV and brain MRI were done in all cases. Follow up ranged from 1 to 10 years. Outcome was 77[96.2%] patients were completely pain free while 3[3.8%] of patients developed recurrence. One patient [1.25%] developed CSF rhinorrhea, otorrhea, facial nerve paresis and deafness each

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Conclusion: The compression of TN by vascular loop was not found as a cause of TGN. TGNC Technique for TGN is less invasive, safe and effective