The Gardner neurovascular decompression operation for trigeminal neuralgia

1981 ◽  
Vol 58 (3-4) ◽  
pp. 161-166 ◽  
Author(s):  
R. W. Rand
Keyword(s):  
Trigeminal Neuralgia ◽  
Decompression Operation ◽  
Neurovascular Decompression

Results of Decompression Operation for Trigeminal Neuralgia

1954 ◽  
Vol 11 (5) ◽  
pp. 499-504 ◽  
Author(s):  
J. Grafton Love ◽  
Hendrik J. Svien
Keyword(s):  
Trigeminal Neuralgia ◽  
Decompression Operation

Withdrawal reaction of carbamazepine after neurovascular decompression for trigeminal neuralgia: A preliminary study

2014 ◽  
Vol 338 (1-2) ◽  
pp. 43-45 ◽  
Author(s):  
Min-Jie Chen ◽  
Wei-Jie Zhang ◽  
Zhi-Lin Guo ◽  
Wen-Hao Zhang ◽  
Ying Chai ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Withdrawal Reaction ◽  
Preliminary Study ◽  
Neurovascular Decompression

scholarly journals Percutaneous radiofrequency rhizotomy and neurovascular decompression of the trigeminal nerve for the treatment of facial pain

2006 ◽  
Vol 64 (4) ◽  
pp. 983-989 ◽  
Author(s):  
Manoel J. Teixeira ◽  
Silvia R.D.T. Siqueira ◽  
Gilberto M. Almeida
Keyword(s):  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Success Rate ◽  
Facial Pain ◽  
Clinical Findings ◽  
Atypical Facial Pain ◽  
Post Herpetic Neuralgia ◽  
Trigeminal Neuropathy ◽  
Idiopathic Trigeminal Neuralgia ◽  
Neurovascular Decompression

OBJECTIVE: To determine the outcomes of 354 radiofrequency rhizotomies and 21 neurovascular decompressions performed as treatment for 367 facial pain patients (290 idiopathic trigeminal neuralgia, 52 symptomatic trigeminal neuralgia, 16 atypical facial pain, 9 post-herpetic neuralgia). METHOD: Clinical findings and surgery success rate were considered for evaluation. A scale of success rate was determined to classify patients, which considered pain relief and functional/sensorial deficits. RESULTS: Radiofrequency rhizotomy was performed in 273 patients with idiopathic trigeminal neuralgia and in all other patients, except for trigeminal neuropathy; neurovascular decompression was performed in 18 idiopathic trigeminal neuralgia patients; 100% idiopathic trigeminal neuralgia, 96.2% symptomatic trigeminal neuralgia, 37.5% atypical facial pain and 88.9% post-herpetic neuralgia had pain relief. CONCLUSION: Both techniques for idiopathic trigeminal neuralgia are usefull. Radiofrequency rhizotomy was also efficient to treat symptomatic facial pain, and post-herpetic facial pain, but is not a good technique for atypical facial pain.

scholarly journals Neurovascular Decompression for Trigeminal Neuralgia in Elderly Patients

1999 ◽  
Vol 39 (3) ◽  
pp. 226-230 ◽  
Author(s):  
Hiroshi RYU ◽  
Seiji YAMAMOTO ◽  
Kenji SUGIYAMA ◽  
Naoki YOKOTA ◽  
Tokutaro TANAKA
Keyword(s):  
Trigeminal Neuralgia ◽  
Elderly Patients ◽  
Neurovascular Decompression

Neurovascular Decompression for Trigeminal Neuralgia associated with Hemifacial Spasm

1986 ◽  
Vol 26 (11) ◽  
pp. 900-903 ◽  
Author(s):  
Jun MIYAGI ◽  
Yuichiro HANABUSA ◽  
Shinken KURAMOTO ◽  
Masao KUBOYAMA ◽  
Kazunori KAJIWARA
Keyword(s):  
Trigeminal Neuralgia ◽  
Hemifacial Spasm ◽  
Neurovascular Decompression

Neurovascular compression in trigeminal neuralgia: a clinical and anatomical study

1992 ◽  
Vol 76 (6) ◽  
pp. 948-954 ◽  
Author(s):  
Peter J. Hamlyn ◽  
Thomas T. King
Keyword(s):  
Trigeminal Neuralgia ◽  
Cranial Nerve ◽  
Operative Procedure ◽  
Anatomical Study ◽  
Vascular Compression ◽  
Neurovascular Compression ◽  
Content Type ◽  
Simple Contact ◽  
Neurovascular Decompression ◽  
Fine Print

✓ Neurovascular decompression is a widely practiced tec hnique for the treatment of trigeminal neuralgia, and yet there is still debate as to whether the beneficial effect results from relieving the nerve of compression by an anatomically abnormal vessel or from the manipulation and trauma the nerve undergoes during the procedure. The development of this operation has been hampered by the lack of adequate anatomical studies in normal controls. The authors present a combined study of clinical and anatomical material employing standardized definitions of the neurovascular relationships in both groups. Detailed simulations of the operative procedure were carried out on fresh cadavers matched for age, sex, and side, and a technique of in situ blood vessel perfusion was developed that enabled the normal neurovascular arrangement to be observed post mortem at physiological pressures. Neurovascular compression, typified by a large vessel distorting and creating a groove in the fifth cranial nerve, was found in 37 of the 41 cases of trigeminal neuralgia; recurrence of pain did not relate to the site of compression. A follow-up study was carried out for a median of 53 months (range 12 to 103 months). No distortion was found in a total of 50 normal cadaveric dissections; however, on perfusion to physiological pressures, the percentage of nerves with vessels adjacent or in simple contact increased from 16% to 40%. This study using this new technique confirms that vascular compression of the fifth cranial nerve is an anatomical abnormality specific to trigeminal neuralgia.

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