Options in Treating Trigeminal Neuralgia: Experience With 195 Patients.
Publication/Presentation Date
10-1-2016
Abstract
OBJECTIVE: For patients with medically unresponsive trigeminal neuralgia (TN), surgical options include microvascular decompression (MVD), radiofrequency rhizotomy (RF), and stereotactic radiosurgery (SRS). In an attempt to identify the risks and benefits and cost inherent with each of the three modalities, we performed a retrospective review of our experience with 195 cases of TN treated over the past 15 years.
METHODS: Since 2001, 195 patients with previously untreated TN were managed: with MVD in 79, RF in 36, and SRS in 80. All patients reported herein underwent preoperative MRI. Women outnumbered men 122/73 (p=0.045). Follow-up after surgery was 32±46months.
RESULTS: The patients qualifying for MVD were generally healthier and younger, with a mean age±SD of 57±14, compared to those undergoing RF (75±15) or SRS (73±13, p
CONCLUSION: MVD for TN is the treatment least likely to fail or require additional treatment. Patients who underwent MVD were younger than those undergoing RF or SRS. The highest rate of recurrence of TN was encountered in patients undergoing RF (64%). Facial numbness was least likely to occur with MVD (16%) compared to RF and SRS (50% and 36% respectively).
Volume
149
First Page
166
Last Page
170
ISSN
1872-6968
Published In/Presented At
Hitchon, P. W., Holland, M., Noeller, J., Smith, M. C., Moritani, T., Jerath, N., & He, W. (2016). Options in treating trigeminal neuralgia: Experience with 195 patients. Clinical Neurology And Neurosurgery, 149166-170. doi:10.1016/j.clineuro.2016.08.016
Disciplines
Medical Sciences | Medicine and Health Sciences | Neurology
PubMedID
27556293
Department(s)
Department of Medicine
Document Type
Article