PMID: 6169418Aug 1, 1981Paper

Trigeminal neuralgia: a comparison of the results of percutaneous rhizotomy and microvascular decompression

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
Gary G FergusonJ P Girvin

Abstract

Seventy-five patients were treated between March 1976 and June 1980 for classical idiopathic tic douloureux. Fifty-five patients underwent percutaneous trigeminal rhizotomy (PTR) and twenty-four had posterior fossa microvascular decompression (MVD) of the trigeminal nerve. Four patients had both procedures. In the PTR group, 4% were immediate failures, 42% had a delayed recurrence of pain, while 54% remained totally pain free with an average follow-up of 30 months. In the MVD group, 12% were immediate failures, 17% had a delayed recurrence of pain, and 71% have remained free of pain with a average follow-up of 28 months. Neither procedure can be regarded as ideal surgical treatment for patients with pain refractory to medical treatment. Percutaneous rhizotomy has an established place because of its safety, particularly in elderly patients. A high rate of recurrent pain is to be expected. Microvascular decompression has appeal in younger patients because of its non-destructive nature but the long term efficacy of the procedure is not known.

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Citations

Sep 1, 1989·Journal of Neurosurgery·S TsubakiT Shimizu
Dec 1, 1983·Arquivos de neuro-psiquiatria·P Niemeyer Filho
Jan 23, 2009·The Clinical Journal of Pain·Zhaoxin Ma, Ming Li
Jan 8, 2020·Molecular Pain·Eder GambetaGerald W. Zamponi
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Apr 29, 2006·Headache·Akifumi KanaiSumio Hoka
Jan 6, 2007·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·H Baechli, O Gratzl
Aug 6, 2015·World Journal of Clinical Cases·Adam TuckerTakehisa Ohmura
Jan 1, 1996·Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists·G R Holland
May 15, 2009·Cephalalgia : an International Journal of Headache·W S Lesley
Jan 17, 2014·Journal of Maxillofacial and Oral Surgery·Madan NanjappaK B Hemavathi
Apr 15, 2003·Journal of Neurosurgery·Cormac O MaherJohn I Lane
Jul 1, 1988·Journal of Neurosurgery·K J BurchielJ D Loeser

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