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Microvascular Decompression and Percutaneous Rhizotomy in Trigeminal Neuralgia

Authors
 Lee K.H.  ;  Chang J.W.  ;  Park Y.G.  ;  Chung S.S. 
Citation
 STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, Vol.68(1~4 Pt.1) : 196-199, 1997 
Journal Title
 STEREOTACTIC AND FUNCTIONAL NEUROSURGERY 
ISSN
 1011-6125 
Issue Date
1997
MeSH
Catheter Ablation ; Decompression, Surgical/methods* ; Follow-Up Studies ; Glycerol ; Humans ; Rhizotomy/methods* ; Treatment Outcome ; Trigeminal Ganglion/surgery ; Trigeminal Nerve/surgery ; Trigeminal Neuralgia/surgery*
Abstract
We analyzed 417 patients with trigeminal neuralgia who underwent microvascular decompression (MVD; n = 146) or percutaneous procedures, i.e. radio-frequency rhizotomy (RFR; n = 235) and glycerol rhizotomy (GR; n = 36) between March 1973 and December 1996. MVD and RFR showed the highest rates of initial pain relief (MVD 96.5%; RFR 92.3%; GR 82.8%). RFR and GR had 5.1 and 3.3% rates of facial dysesthesia, respectively, and MVD had the lowest rate (0.3%). Among 9 cases (8.6%) with recurrences after MVD, 8 cases underwent RFR and all of them obtained good long-term results (7.2 years on average). We concluded that MVD is the treatment of choice for tolerant younger patients and should be recommended for patients who desire no sensory deficit. We also determined that radiofrequency rhizotomy is the procedure of choice for patients in whom MVD failed.
Full Text
http://www.karger.com/Article/FullText/99923
DOI
10.1159/000099923
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Jin Woo(장진우) ORCID logo https://orcid.org/0000-0002-2717-0101
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176896
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