Your browser doesn't support javascript.
loading
Prospective Comparison of Redo Microvascular Decompression and Percutaneous Balloon Compression as Primary Surgery for Recurrent Trigeminal Neuralgia
Journal of Korean Neurosurgical Society ; : 747-752, 2018.
Article Dans Anglais | WPRIM | ID: wpr-765300
ABSTRACT

OBJECTIVE:

To prospectively compare facial pain outcomes for patients having either a repeat microvascular decompression (MVD) or percutaneous balloon compression (PBC) as their surgery for trigeminal neuralgia (TN) recurrence.

METHODS:

Prospective cohort study of 110 patients with TN recurrence who had either redo MVD (n=68) or PBC (n=42) from July 2010 until September 2016. The mean follow-up was 45.6 months.

RESULTS:

After redo MVD, 65 patients (95.6%) experienced immediate relief of pain. After PBC, 34 patients (81%) were immediately relieved of their neuralgia. After 1 month, the clinical effect of redo MVD was better than PBC (p 0.05). Patients after PBC who occurred developed herpes simplex (35.7%), facial numbness (76.2%), and annoying dysesthesia (21.4%) more frequently compared with patients after redo MVD who occurred developed herpes simplex (14.7%), facial numbness (8.8%), and hypoesthesia (5.9%) (p < 0.05). The symptoms recurred respectively in 15 patients (22.1%) and 19 patients (45.2%) after redo MVD and PBC within the entire 6-year follow-up period.

CONCLUSION:

For the patients with TN recurrence, redo MVD was a more effective procedure than PBC. The cure rate and immediate relief of pain were better, and the incidence of complications was lower.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Paresthésie / Récidive / Névralgie essentielle du trijumeau / Algie faciale / Incidence / Études prospectives / Études de cohortes / Études de suivi / Chirurgie de décompression microvasculaire / Herpès Type d'étude: Etude d'étiologie / Etude d'incidence / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Anglais Texte intégral: Journal of Korean Neurosurgical Society Année: 2018 Type: Article

Documents relatifs à ce sujet

MEDLINE

...
LILACS

LIS

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Paresthésie / Récidive / Névralgie essentielle du trijumeau / Algie faciale / Incidence / Études prospectives / Études de cohortes / Études de suivi / Chirurgie de décompression microvasculaire / Herpès Type d'étude: Etude d'étiologie / Etude d'incidence / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Anglais Texte intégral: Journal of Korean Neurosurgical Society Année: 2018 Type: Article