Open AccessTRIGEMINAL NEURALGIA
Author(s) -
Shahzad Shams,
FARHAN SHAHZAD BUTT
Publication year - 2005
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2005.12.04.5091
Subject(s) - medicine , trigeminal neuralgia , microvascular decompression , superior cerebellar artery , trigeminal nerve , surgery , neuralgia , anesthesia , neuropathic pain , basilar artery
Objectives: trigeminal Neuralgia is a severe lancinating pain and isassociated with conflict between a vessel and 5th cranial nerve. Micro vascular Decompression (MVD) of the nerverelieves this pain. Material & Methods: We reviewed 60 patients who underwent MVD for medically intractabletrigeminal neuralgia. The outcome of procedure was assessed retrospectively. Results: Preoperative symptoms rangedfrom 3 months to 10 years. Right side of face was affected in 32 and left in 28 patients. Mandibular division (21.6%)was the most commonly involved branch for referred pain. Superior cerebellar artery was the commonest offendingvessel in 86.6% of cases. Trigeminal root entry zone location (70%) was the commonest site of conflict. Postoperativepain relief showed excellent results in 86.6%, good in 10.0% and poor in 3.4%. Recurrence rate was 1.5% per year.Conclusion: MVD is safe, effective and treatment of choice for trigeminal neuralgia.