Trigeminal neuralgia (TN) is a type of facial discomfort that is extremely infrequent.
It’s characterised by a sudden onset of electric shock-like facial discomfort along the sensory distribution of the fifth cranial nerve.
When PTS symptoms become intractable and medications are no longer effective, patients must seek surgical decompression. Our research will look at the relationship between vascular compression radiologically and during surgery, as well as micro vascular decompression for trigeminal neuralgia and its outcomes, as well as a literature review.
Methods: This is a retrospective analysis of 40 persons diagnosed with TN between July 2009 and July 2015.
MVD has been performed on all of the patients.
Demographic data, clinical presentation, surgical findings, complications, and long-term follow-up were all examined.
The median age of onset of TN is 50.4 years, with five age groups ranging from 24 to 89 years, and a female preponderance of 65.5 percent over men.
In the distribution of location, the right to left ratio was 1.5:1.
There was no evidence of mortality in the study.
Complications occurred in three patients in the study population.
Three patients had facial hyposthesia, one had V3 paresis, and one had CSF otorrhoea, which all improved after LP draining.
All of the patients improved satisfactorily, with the exception of one who experienced persistent discomfort. Conclusions: To summarise, for medically refractory TN patients who are surgically fit, microvascular decompression (MVD) is the surgical technique of choice.
Of all the currently known surgical techniques, MVD has the highest rate of long-term patient satisfaction and the lowest rate of pain recurrence.
Author (S) Details
Renuka S. Melkundi
Department of ENT, GIMS, Kalaburagi, Karnataka, India.
Department of Neurosurgery, Mahadevappa Rampure Medical College, Gulbarga, Karnataka, India.
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