Microvascular decompression for trigeminal neuralgia in elderly patients
10.3760/cma.j.issn.1671-8925.2009.04.019
- VernacularTitle:微血管减压术治疗老年性三叉神经痛的临床分析
- Author:
Sheng-Wei QIAN
1
;
Yun-Ping DUAN
;
Ji-Zhi ZHANG
;
Dian-Shi JIN
Author Information
1. 大连大学附属中山医院
- Keywords:
Trigeminal neuralgia in elderly;
Microvascular decompression;
Complication
- From:
Chinese Journal of Neuromedicine
2009;8(4):399-401,404
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy and safety of microvascular decompression for treatment of trigeminal neuralgia in elderly patients. Methods The clinical data of29 elderly patients (above 65 years old) with trigeminal neuralgia treated with microvascular decompression were retrospectively reviewed to analyze the outcomes of the surgery and complications in comparison with those of younger patients below 65 years of age. Results Good therapeutic effects were achieved in both groups without obvious difference between them,the rate ofpostoperative pain relieffor the elderly group is 93.10%,96.36%for the control group.The elderly patients showed some special anatomical and systemic features in relation to aging,including the presence of brain atrophy,obvious arteriosclerosis in the culprit arteries(the elderlygroupis about 1/4,the control group is about 1/10),multiple systemic diseases(the elderly group accounted for 71.69%,41.81%for control group),and increased risk of surgical complications(one of the elderly group appears brainstem infarction,2 cases of lower extremity deep VenOUS thromboembolism disease). Conclusion Microvascular decompression provides an effective cure or pain relief for most elderly patients with trigeminal neuralgia with the application of effective perioperative treatment.
