Safety of microvascular decompression for elderly patients with trigeminal neuralgia

Clinical Neurology and Neurosurgery
Kenichi AmagasakiHiroshi Nakaguchi

Abstract

The present study compared the safety and efficacy of microvascular decompression (MVD) in groups of elderly patients and non-elderly patients with medically refractory trigeminal neuralgia (TN) and collected detailed perioperative data. Retrospective analysis of clinical data was performed in 99 patients who underwent MVD from May 2012 to June 2015. The outcome data from 27 MVD operations for 27 patients aged 70-80 years (mean 74.6 years) were compared with 72 MVD operations with 72 patients aged 25-69 years (mean 55.7 years). Preoperative comorbidities were recorded and postoperative worsening comorbidities and non-neurological complications were evaluated at discharge. Efficacy of the surgery and neurological complications were evaluated in July 2015. No decrease in activity of daily living was found in any patient. Complete pain relief without medication was achieved in 77.8% and partial pain relief in 14.8% in the elderly group, and 83.3% and 9.7%, respectively, in the non-elderly group (p=0.750). Permanent neurological complication was not observed in the elderly group, whereas Vth nerve and VIIIth nerve complications were observed in the non-elderly group. Rates of preoperative multiple comorbidities and of cardiovascula...Continue Reading

References

May 27, 1999·Neurologia Medico-chirurgica·H RyuT Tanaka
Jul 24, 2004·Neurosurgery·Toshio MatsushimaMasayuki Miyazono
Apr 2, 2008·Journal of Neurosurgery·Kim J Burchiel
Apr 2, 2008·Journal of Neurosurgery·Raymond F SekulaPeter J Jannetta
Oct 7, 2009·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Paolo FerroliGiovanni Broggi
May 17, 2011·Journal of Neurosurgery·Kim J Burchiel
Jul 12, 2014·Journal of Neurosurgery·Kenichi AmagasakiHiroshi Nakaguchi

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Citations

Sep 30, 2017·American Journal of Physical Medicine & Rehabilitation·Dai ZhangYue Wen Ma
Jun 11, 2020·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·James W Edwards, Vivien Shaw
Mar 16, 2017·British Journal of Neurosurgery·Ming-Yi LvZeng-Liang Liu
Mar 4, 2020·World Neurosurgery: X·Carolina Venda NovaRicheal Ni Riordain
Jul 30, 2021·Neurosurgery·Yoshifumi MizobuchiIwao Yamakami

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