Surgical treatment of primary trigeminal neuralgia through small incision behind the ear

<p>A total of 3000 cases with primary trigeminal neuralgia were treated in our department from October 2005 to November 2013 by microvascular decompression or partial amputation of the sensory branch of trigeminal nerve. The clinical cure rate reached 98.66% (2863 cases), and the effective...

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Main Authors: Yun-jie XIE, Jian XUE, Chong WANG, Yan-jun CHONG
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2014-12-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1105
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author Yun-jie XIE
Jian XUE
Chong WANG
Yan-jun CHONG
author_facet Yun-jie XIE
Jian XUE
Chong WANG
Yan-jun CHONG
author_sort Yun-jie XIE
collection DOAJ
description <p>A total of 3000 cases with primary trigeminal neuralgia were treated in our department from October 2005 to November 2013 by microvascular decompression or partial amputation of the sensory branch of trigeminal nerve. The clinical cure rate reached 98.66% (2863 cases), and the effective rate was 0.55% (16 cases), ineffective rate 0.45% (13 cases). The recurrence rate was about 0.35% (10 cases). The main postoperative complication was intracranial hypotension syndrome (40.50% , 1215 cases), which disappeared 2 or 3 d later. The other serious complications included encephaledema (1.40%, 42 cases), cerebral hemorrhage (0.20%, 6 cases) and ischemic stroke (0.07%, 2 cases). In conclusion, microvascular decompression is an effective and safe operation method in the treatment of primary trigeminal neuralgia, and most patients' pain can be eliminated or alleviated after surgery.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.12.016</p>
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spelling doaj.art-28ed519f462f40d4a7939db9cdc200762022-12-21T18:40:08ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312014-12-011412110311051099Surgical treatment of primary trigeminal neuralgia through small incision behind the earYun-jie XIE0Jian XUE1Chong WANG2Yan-jun CHONG3Department of Neurosurgery, Ji'ning No.1 People's Hospital, Ji'ning 272011, Shandong, ChinaDepartment of Neurosurgery, Ji'ning No.1 People's Hospital, Ji'ning 272011, Shandong, ChinDepartment of Neurosurgery, Ji'ning No.1 People's Hospital, Ji'ning 272011, Shandong, ChinDepartment of Neurosurgery, Ji'ning No.1 People's Hospital, Ji'ning 272011, Shandong, Chin<p>A total of 3000 cases with primary trigeminal neuralgia were treated in our department from October 2005 to November 2013 by microvascular decompression or partial amputation of the sensory branch of trigeminal nerve. The clinical cure rate reached 98.66% (2863 cases), and the effective rate was 0.55% (16 cases), ineffective rate 0.45% (13 cases). The recurrence rate was about 0.35% (10 cases). The main postoperative complication was intracranial hypotension syndrome (40.50% , 1215 cases), which disappeared 2 or 3 d later. The other serious complications included encephaledema (1.40%, 42 cases), cerebral hemorrhage (0.20%, 6 cases) and ischemic stroke (0.07%, 2 cases). In conclusion, microvascular decompression is an effective and safe operation method in the treatment of primary trigeminal neuralgia, and most patients' pain can be eliminated or alleviated after surgery.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.12.016</p>http://www.cjcnn.org/index.php/cjcnn/article/view/1105Trigeminal neuralgiaMastoidMicrosurgery
spellingShingle Yun-jie XIE
Jian XUE
Chong WANG
Yan-jun CHONG
Surgical treatment of primary trigeminal neuralgia through small incision behind the ear
Chinese Journal of Contemporary Neurology and Neurosurgery
Trigeminal neuralgia
Mastoid
Microsurgery
title Surgical treatment of primary trigeminal neuralgia through small incision behind the ear
title_full Surgical treatment of primary trigeminal neuralgia through small incision behind the ear
title_fullStr Surgical treatment of primary trigeminal neuralgia through small incision behind the ear
title_full_unstemmed Surgical treatment of primary trigeminal neuralgia through small incision behind the ear
title_short Surgical treatment of primary trigeminal neuralgia through small incision behind the ear
title_sort surgical treatment of primary trigeminal neuralgia through small incision behind the ear
topic Trigeminal neuralgia
Mastoid
Microsurgery
url http://www.cjcnn.org/index.php/cjcnn/article/view/1105
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AT chongwang surgicaltreatmentofprimarytrigeminalneuralgiathroughsmallincisionbehindtheear
AT yanjunchong surgicaltreatmentofprimarytrigeminalneuralgiathroughsmallincisionbehindtheear