Prospective Comparison of Redo Microvascular Decompression and Percutaneous Balloon Compression as Primary Surgery for Recurrent Trigeminal Neuralgia
| Autor: | Hang-gen Du, Jing-nan Chen, Wen-hua Yu, Li Jiang, Xiao-qiao Dong, Jie Cao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.medical_treatment Microvascular decompression surgery Microvascular decompression Microvascular Decompression Surgery 03 medical and health sciences 0302 clinical medicine Trigeminal neuralgia medicine Prospective cohort study Percutaneous balloon compression Dysesthesia Clinical Article Functional business.industry General Neuroscience Hypoesthesia medicine.disease digestive system diseases Surgery 030220 oncology & carcinogenesis cardiovascular system Neuralgia Neurology (clinical) medicine.symptom business Re-do 030217 neurology & neurosurgery |
| Zdroj: | Journal of Korean Neurosurgical Society |
| ISSN: | 1598-7876 2005-3711 |
| Popis: | Objective To prospectively compare facial pain outcomes for patients having either a repeat microvascular decompression (MVD) or percutaneous balloon compression (PBC) as their surgery for trigeminal neuralgia (TN) recurrence. Methods Prospective cohort study of 110 patients with TN recurrence who had either redo MVD (n=68) or PBC (n=42) from July 2010 until September 2016. The mean follow-up was 45.6 months. Results After redo MVD, 65 patients (95.6%) experienced immediate relief of pain. After PBC, 34 patients (81%) were immediately relieved of their neuralgia. After 1 month, the clinical effect of redo MVD was better than PBC (p0.05). Patients after PBC who occurred developed herpes simplex (35.7%), facial numbness (76.2%), and annoying dysesthesia (21.4%) more frequently compared with patients after redo MVD who occurred developed herpes simplex (14.7%), facial numbness (8.8%), and hypoesthesia (5.9%) (p |
| Databáze: | OpenAIRE |
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