Long-Term Follow-Up of Microvascular Decompression for Trigeminal Neuralgia

Chenur Oesman; Jan Jakob A Mooij

doi:10.1055/s-0031-1284213

Skull Base, Inhaltsverzeichnis

Skull Base 2011; 21(5): 313-322
DOI: 10.1055/s-0031-1284213

ORIGINAL ARTICLE

Long-Term Follow-Up of Microvascular Decompression for Trigeminal Neuralgia

Chenur Oesman¹ , Jan Jakob A. Mooij²

¹Neurosurgery Department, King's College Hospital, London, United Kingdom
²Neurosurgery Department, University Medical Centre, Groningen, Netherlands

Abstract

ABSTRACT

We conducted a study to evaluate the follow-up characteristics of patients with trigeminal neuralgia (TN) and to evaluate the factors affecting long-term outcome of microvascular decompression (MVD) in TN. Between 1983 and 2003, 156 patients with TN treated with MVD by 4 neurosurgeons at University Medical Centre Groningen/the Netherlands were evaluated. Baseline data from operative outcome were evaluated using univariate and multivariate analysis. The group consisted of 156 patients with TN: 90 females and 66 males with a median follow-up period of 9.7 years. The average age of initial symptoms was 51 years. The average duration of symptoms was 58 months. Postoperative 22 patients had a facial hyperpathia or hyperesthesia. Postoperatively, 137 patients had immediate relief. Postoperatively 1 year, 140 patients still had a good outcome of the operation. Twenty-seven patients with good immediate postoperative results had recurrent pain. From the group of patients with typical TN, 82% had good long-term results after operation. Patients with typical TN and immediate postoperative remission, in univariate analysis, had significantly more often an excellent/good postoperative outcome. Immediate postoperative remission is an independent predictive factor for a good long-term outcome. The long-term results of MVD in majority of patients were good with no mortalities and no major morbidities. Patients with typical TN had better long-term outcomes and less recurrence.

KEYWORDS

Microvascular decompression - trigeminal neuralgia - typical trigeminal neuralgia - Jannetta - long-term follow-up

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Referenzen

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Chenur OesmanM.Sc.

King's College Hospital

London, UK

eMail: chenuroesman@nhs.net