Treatment of non -remission of trigeminal neuralgia after microvascular decompression

VernacularTitle:三叉神经痛微血管减压术后疼痛不缓解的治疗体会
Author: Jing-Ru ZHOU ¹ ; Qing-Jun ZHANG
Author Information

1. 北京大学人民医院
Keywords: Trigeminal neuralgia; Microvaseular decompression; Shutdown of trigeminal cistern with glycerol
From: Chinese Journal of Neuromedicine 2010;9(5):521-523
CountryChina
Language:Chinese
Abstract: Objective To explore the treatment of non-remission of trigeminal neuralgia after microvascular decompression (MVD). Methods The data of 50 patients with trigeminal neuralgia from 2005 to 2009 were reviewed and analyzed; those with non-remission of trigeminal neuralgia after MVD were performed percutaneous shutdown of trigeminal cistern with glycerol via foramen ovale. The operative efficacy was compared. Results Three (6%) patients were noted with non-remission outcomes: 2 with blood vessel compression were performed MVD and 1 without blood vessels compression did not receive MVD procedure; all these 3 patients had thicken adhesion of the arachnoid.The pain was remitted after the showdown operation. Conclusion Percutaneous shutdown oftrigeminal cistern with glycerol is a safe and effective surgical method for patients with non-remission oftrigeminal neuralgia after MVD.