2013•Shandong Daxue er-bi-hou-yan xuebaoRequires access

Endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia(36 cases report)

Jing Hui

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Abstract

Objective To explore the method and effectiveness of endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia(ITN).Methods 36 ITN cases underwent microvascular decompression under nasal endoscope by retrosigmoidal approach.In the operation,the corresponding vessel was identified and padded with Tfelon patch.Results The efficiency of postoperative pain relief was 97.2%.The responsiblele vessels were anterior cerebellar artery in 14(38.9%),10 anterior inferior cerebellar artery(27.8%),7 posterior inferior cerebellar artery(19.4%),2 basilar artery(5.5%),and 3 anterior cerebellar artery plus petrosal vein(8.4%).Conclusion Microvascular decompression under nasal endoscopy is an effective method to treat idiopathic trigeminal neuralgia.

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What this paper is about

Objective To explore the method and effectiveness of endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia(ITN).Methods 36 ITN cases underwent microvascular decompression under nasal endoscope by retrosigmoidal approach.In the operation,the corresponding vessel was identified and padded with Tfelon patch.Results The efficiency of postoperative pain relief was 97.2%.The responsiblele vessels were anterior cerebellar artery in 14(38.9%),10 anterior inferior cerebellar artery(27.8%),7 posterior inferior cerebellar artery(19.4%),2 basilar artery(5.5%),and 3 anterior cerebellar artery plus petrosal vein(8.4%).Conclusion Microvascular decompression under nasal endoscopy is an effective method to treat idiopathic trigeminal neuralgia.

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Available abstract

Objective To explore the method and effectiveness of endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia(ITN).Methods 36 ITN cases underwent microvascular decompression under nasal endoscope by retrosigmoidal approach.In the operation,the corresponding vessel was identified and padded with Tfelon patch.Results The efficiency of postoperative pain relief was 97.2%.The responsiblele vessels were anterior cerebellar artery in 14(38.9%),10 anterior inferior cerebellar artery(27.8%),7 posterior inferior cerebellar artery(19.4%),2 basilar artery(5.5%),and 3 anterior cerebellar artery plus petrosal vein(8.4%).Conclusion Microvascular decompression under nasal endoscopy is an effective method to treat idiopathic trigeminal neuralgia.

Key concepts: Medicine, Microvascular decompression, Anterior inferior cerebellar artery, Trigeminal neuralgia, Superior cerebellar artery, Cerebellar artery, Posterior inferior cerebellar artery, Basilar artery

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