Long term efficacy and patient satisfaction of microvascular decompression and gamma knife radiosurgery for trigeminal neuralgia

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Anil NandaOsama Ahmed

Abstract

The aim of our study was to evaluate the long term efficacy of microvascular decompression (MVD) and gamma knife radiosurgery (GKRS) with respect to pain relief and patient satisfaction. Both these modalities are accepted modalities of treatment for intractable trigeminal neuralgia. We excluded deceased patients, those who had a prior intervention and those requiring an additional intervention following initial treatment. A total of 69 patients were included in the study. Of these, 49 patients underwent treatment by GKRS and 20 by MVD. Pain status was assessed using the Barrow Neurological Institute (BNI) pain scale. The median follow up was 5.3years. There was no significant difference between the two groups with respect to initial pain relief (100% MVD, 84% GKRS; p=0.055). There was no significant difference in pain recurrence between the two groups (39% GKRS, 20% MVD; p=0.133). At last follow up, 85% of patients who underwent MVD had total pain relief (BNI scale I) compared to only 45% of GKRS patients (p=0.002). There was no significant difference in the patient satisfaction with respect to undergoing the same procedure again (90% MVD, 69% GKRS; p=0.1) and recommending it to family members (95% MVD, 84% GKRS; p=0.2). MVD of...Continue Reading

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Citations

Mar 13, 2016·Neurología : publicación oficial de la Sociedad Española de Neurología·F Ruiz-JuretschkeC Fernandez-Carballal
Jun 22, 2016·Neurosurgery Clinics of North America·Smruti K Patel, James K Liu
Dec 2, 2017·The Journal of Craniofacial Surgery·Chao LiangHong-Fei Liu
Apr 28, 2018·Journal of Neurosurgery·Constantin TuleascaMarc Levivier
Mar 13, 2019·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·L BendtsenG Cruccu
Jun 11, 2020·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·James W Edwards, Vivien Shaw
Apr 3, 2019·Neurosurgical Review·Alfio SpinaPietro Mortini
Mar 4, 2020·World Neurosurgery: X·Carolina Venda NovaRicheal Ni Riordain
Jul 27, 2021·Journal of Neurological Surgery. Part B, Skull Base·Yanglingxi WangChong Wang

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