Absence of neurovascular conflict during microvascular decompression while treating essential trigeminal neuralgia. How to proceed? Systematic review of literature
| Autor: | J. Molet-Teixidó, Fernando Muñoz-Hernández, Andreas Leidinger |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Models Neurological Microvascular decompression Rhizotomy 03 medical and health sciences 0302 clinical medicine Trigeminal neuralgia Humans Medicine Surgical treatment Trigeminal nerve business.industry Nerve Compression Syndromes Gold standard General Medicine Trigeminal Neuralgia Neurovascular bundle medicine.disease Microvascular Decompression Surgery nervous system diseases Surgery Treatment Outcome nervous system 030220 oncology & carcinogenesis business 030217 neurology & neurosurgery |
| Zdroj: | Neurocirugía (English Edition). 29:131-137 |
| ISSN: | 2529-8496 |
| Popis: | Introduction Neurovascular conflict is the most accepted hypothesis for the cause for trigeminal neuralgia . Microvascular decompression of the trigeminal nerve is the most common surgical treatment for these patients. However, despite advances in diagnostic techniques, neurovascular conflict is sometimes not detected during surgery. The aim of this paper is to systematically review all the options available to best manage this scenario. Results Several techniques that could be used during microvascular decompression for trigeminal neuralgia in the absence of neurovascular conflict have been described. The success rates of these techniques, pain recurrence rates and rates of complications are also reported. Finally, we provide suggestions based on our experience. Conclusions There is no gold standard, but several techniques could be successfully used in the absence of neurovascular conflict. The use of destructive techniques, such as PSR, should be held as treatments of last resort. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect