Management of veins during microvascular decompression for idiopathic trigeminal neuralgia

Autor:	Shuai Hao, Minqing Wang, Chengwei Wang, Xu Zhao, Deguang Xing, Chao Han
Rok vydání:	2018
Předmět:	Adult Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Microvascular decompression Veins Young Adult 03 medical and health sciences 0302 clinical medicine Trigeminal neuralgia medicine Idiopathic trigeminal neuralgia Humans Vein Aged Retrospective Studies Aged 80 and over Postoperative Care business.industry Arteries General Medicine Middle Aged Trigeminal Neuralgia medicine.disease Magnetic Resonance Imaging digestive system diseases Microvascular Decompression Surgery nervous system diseases Surgery body regions medicine.anatomical_structure 030220 oncology & carcinogenesis cardiovascular system Female Neurology (clinical) business Organ Sparing Treatments 030217 neurology & neurosurgery
Zdroj:	British Journal of Neurosurgery. 32:484-488
ISSN:	1360-046X 0268-8697
DOI:	10.1080/02688697.2018.1476674
Popis:	To summarize our experience in treating veins during microvascular decompression (MVD) procedures for idiopathic trigeminal neuralgia (TN).A total of 210 patients who underwent single MVD for idiopathic TN were retrospectively studied. The offending vessels were summarized. The treatment choices for veins during the operation were reviewed. Postoperative long-term outcomes were determined by follow-up.Veins accounted for 26.7% of the total 262 offending vessels. Neurovascular conflicts were caused by veins alone in 23 patients (11.2%), and they were caused by arteries and veins together in 47 patients (22.8%). The offending veins were cut (15.7%) or saved (84.3%) during the operation. Excellent long-term outcomes were acquired in 78.3% of the patients with venous type TN.There are no acknowledged principles guiding the treatment of veins during MVD. Our primary treatment principle is to retain veins as often as possible.
Databáze:	OpenAIRE
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