Results of Decompression Operation for Trigeminal Neuralgia
Autor: | J. Grafton Love, Hendrik J. Svien |
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Rok vydání: | 1954 |
Předmět: |
Trigeminal nerve
medicine.medical_specialty Palsy business.industry Dura mater Middle meningeal artery Anatomy Trigeminal Neuralgia Decompression Surgical medicine.disease Tentorium Ganglion Surgery medicine.anatomical_structure Trigeminal neuralgia Superior petrosal sinus medicine.artery medicine Humans business |
Zdroj: | Journal of Neurosurgery. 11:499-504 |
ISSN: | 0022-3085 |
DOI: | 10.3171/jns.1954.11.5.0499 |
Popis: | AAnNHCJ 3 introduced a new operation for the treatment of trigeminal neuralgia in 195~. His procedure consisted of intradural decompression of the gasserian ganglion and posterior root of the fifth cranial nerve. In this operation the posterior root is not sectioned, and consequently sensation in the face is not sacrificed. Love, 1 in 195~, modified Taarnh0j's operation and carried out an extradural approach to the gasserian ganglion and posterior root of the fifth cranial nerve. During the period from June, 195~ to 1V[arch, 1954, we and our associates have treated 100 patients with trigeminal neuralgia by decompression of the gasserian ganglion and posterior root of the fifth cranial nerve. The procedure employed in each of these cases is the modification of Taarnh0j's procedure devised by Love, 2 which may be described briefly as follows. PROCEDURE Through a small subtemporal craniectomy opening the middle meningeal artery is ligated and divided. The dura mater is stripped from the foramen ovale upward and backward to expose the intracranial portion of the third branch of the trigeminal nerve, the gasserian ganglion and the dura propria over the adjacent portion of the posterior root of this ganglion. The dura mater underneath the temporal lobe is then incised posteriorly, parallel to the posterior root of the ganglion, and the tentorium overlying the posterior root in the posterior fossa is also incised. By this technic the posterior root of the gasserian ganglion is thoroughly decompressed. POSTOPERATIVE COMPLICATIONS From Table 1 it is evident that the procedure of decompression as employed in this series is a safe one. The 1 death occurred in a patient who had, from all clinical signs, recovered from the operation. Only in 1 case did palsy of the third cranial nerve result, and in this instance the palsy was slight and cleared up completely in a month. There were no instances of palsy of the fourth cranial nerve. Bleeding from the superior petrosal sinus has not been a problem; it is usually controlled easily by the application of absorbable gelatin sponge (gelfoam). In only a few instances has clipping of the sinus been necessary. |
Databáze: | OpenAIRE |
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