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ISSN 0028-3851 (Print)

2003, Number 3

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Rev Neurol Neurocir Psiquiat 2003; 36 (3)

Treatment of the trigeminal neuralgia: employment of the microvascular decompressions

Mera MED, Meneses RF

Language: Spanish
References: 25
Page: 109-118
PDF size: 393.39 Kb.


ABSTRACT

Background. To the date, the microvascular decompression is the ideal procedure in the surgical handling of the trigeminal neuralgia, as well as of the hemifacial spasm.
Objective. To determine the experience on the results of the surgery of microvascular decompression in the Hospital Central Militar for the treatment of the trigeminal neuralgia rebellious to medical treatment.
Method. A descriptive, retrospective analysis is realized on the results of the surgery of microvascular decompression for the treatment of the trigeminal neuralgia. The skill of microvascular decompression was realized as surgical basic procedure.
Results. Fourteen microvascular decompressions were to realized for the treatment of the trigeminal neuralgia rebellious to medical treatment. The average of the surgical time of the interventions was of: 195 minutes, whereas the average for the postoperatory time of hospitable stay was 7 days. Eight of the patients submitted to microvascular decompression did not need the use of medicines later to the surgery; five patients needed the use of carbamazepin later to the surgery and one the use of imipramine.
Conclusions. Although the cause of the trigeminal neuralgia appellant is uncertain, in our study it is observed that the vascular compression of the trigeminal nerve plays an important role. The employment of the microvascular decompression for the treatment of the trigeminal neuralgia rebellious to medical treatment is a feasible alternative in our way. The results found in the present investigation using to the microvascular decompression for the treatment of the trigeminal neuralgia are comparable to the brought ones in the literature.


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