A Clinical Analysis of Microvascular Decompression Surgery with Sacrification of the Superior Petrosal Venous Complex for Trigeminal Neuralgia: A Single-Surgeon Experience
Neurosurgeons should not be afraid to carry out superior petrosal vein sacrification.
📌 3 Maddede Bu Makale
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Amaç & Hipotez:AIM: To report the surgical outcomes in patients with trigeminal neuralgia (TN) who underwent microvascular decompression (MVD)with superior petrosal vein sacrification.MATERIAL and METHODS: Data from 63 patients, whose information was obtained from a group of 113 patients who underwentsurgery from 2008 to 2018, were reviewed retrospectively by the first author who was not part of the surgical team, and the painconditions were evaluated objectively.RESULTS: Following surgery, pain relief occurred in 84% of patients during the early postoperative period and in 69.8% of patientsduring long-term follow-up.
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Temel Bulgular & Veri:The major offending vessel was the superior cerebellar artery.CONCLUSION: MVD surgery, in particular for patients with typical pain, is one of the most effective treatment strategies for TN.Superior petrosal vein sacrification is a safe method that helps neurosurgeons to visualise the surgical area and perform a betterwork-up.
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Sonuç & Katkı:Neurosurgeons should not be afraid to carry out superior petrosal vein sacrification.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:2008 Verileri
⚙️Değişkenler:Alan Parametreleri
Özet
AIM: To report the surgical outcomes in patients with trigeminal neuralgia (TN) who underwent microvascular decompression (MVD)with superior petrosal vein sacrification.MATERIAL and METHODS: Data from 63 patients, whose information was obtained from a group of 113 patients who underwentsurgery from 2008 to 2018, were reviewed retrospectively by the first author who was not part of the surgical team, and the painconditions were evaluated objectively.RESULTS: Following surgery, pain relief occurred in 84% of patients during the early postoperative period and in 69.8% of patientsduring long-term follow-up. The major offending vessel was the superior cerebellar artery.CONCLUSION: MVD surgery, in particular for patients with typical pain, is one of the most effective treatment strategies for TN.Superior petrosal vein sacrification is a safe method that helps neurosurgeons to visualise the surgical area and perform a betterwork-up. Neurosurgeons should not be afraid to carry out superior petrosal vein sacrification.
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Bu Makaleye Atıf Yap
AKKAYA, E., GÖKÇİL, Z., ERBAŞ, C., PUSAT, S., BENGISUN, Z. K., ERDOĞAN, E. (2020). A Clinical Analysis of Microvascular Decompression Surgery with Sacrification of the Superior Petrosal Venous Complex for Trigeminal Neuralgia: A Single-Surgeon Experience. Turkish Neurosurgery, Cilt: 30 - Sayı: 1, 83–88. https://ajindex.com/articles/405254
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