Effect analysis of microvascular decompression for patients with trigeminal neuralgia caused by vertebrobasilar dolichoectasia
10.3969/j.issn.1672-5921.2018.03.007
- VernacularTitle:微血管减压术治疗椎-基底动脉延长扩张症致三叉神经痛患者的效果分析
- Author:
Gang SONG
1
;
Ge CHEN
;
Hongchuan GUO
;
Mingchu LI
;
Xu WANG
;
Yuhai BAO
;
Jiantao LIANG
Author Information
1. 首都医科大学宣武医院神经外科
- Keywords:
Vertebrobasilar dolichoectasia;
Trigeminal neuralgia;
Microvascular decompression
- From:
Chinese Journal of Cerebrovascular Diseases
2018;15(3):148-150,161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To preliminarily discuss the safety and efficacy of microvascular decompression for patients with trigeminal neuralgia caused by vertebrobasilar dolichoectasia (VBD).Methods From January 2013 to August 2016,16 patients with trigeminal neuralgia caused by vertebrobasilar dolichoectasia admitted to the Department of Neurosurgery,Xuanwu Hospital,Capital Medical University were analyzed retrospectively.All patients received preoperative magnetic resonance angiography examination.The anatomical relationship between the trigeminal nerves and the peripheral vessels was identified.Microvascular decompression was conducted via suboccipital retrosigmoid approach.They were followed up for 12-52 months after procedure.The trigeminal neuralgia score standard of Barrow Neurological Institute was used to evaluate the degree of pain of the patients before procedure,after procedure,and during the follow-up period.Results Of the 16 patients,the pain disappeared immediately in 15 after procedure,and the pain was not obviously relieved in 1 case after procedure,and the pain disappeared gradually at 6 months after procedure.One patient had hearing loss after operation compared with pre-operation.The follow-up time ranged from 12 months to 52 months.Three patients had recurrent pain at 6,12,and 36 months,respectively after procedure.Conclusion Microvascular decompression treatment of trigeminal neuralgia caused by VBD has better safety and surgical efficacy,but there was a certain pain recurrence rate,which needed further research.
