EFFECTIVENESS OF MICRO VASCULAR DECOMPRESSION OF TRIGEMINAL NERVE FOR THE TREATMENT OF TRIGEMINAL NEURALGIA
Keywords:
Trigeminal, Neuralgia, Microvascular, decompressionAbstract
Objectives: To know the effectiveness of micro vascular decompression of Trigeminal Nerve for Trigeminal Neuralgia.
Material and Methods: This study was conducted in Peshawar Institute of Medical Sciences from January 2010 to
July 2014 by the collaboration of Neurosurgery and General Surgery Departments. A total of 106 patients of classical
trigeminal neuralgia were treated with microvascular decompression. Eighty cases were resistant to pharmacological
treatment while 26 patients opted for micro vascular decompression as first choice. All of them were assessed for relief
of pain on 10th, 30th and 180th post-operative day and the results were analyzed.
Results: Mean age of the patients was 50.6 (± 2SD) years with range of 25 to 75 years. Eighty four (79.2%) patients
had complete relief of pain while 16 (15%) patients had good relief of pain i-e more than 75% of pain reduction. Four
(3.78%) patients had partial relief of pain i-e more than 50% reduction of pain while two (1.8%) patients had poor relief
i-e less than 25% of pain reduction.
Conclusion: Microvascular decompression is a standard technique for the treatment of typical trigeminal neuralgia.
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