Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study
ABSTRACT Background: About 50% of patients that suffer from trigeminal neuralgia do not experience sustained benefit from the use of oral medication. For their adequate management, a few surgical procedures are available. Of these, percutaneous balloon compression (PBC) and microvascular decompres...
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Thieme Revinter Publicações
2021-02-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/pdf/anp/v79n1/1678-4227-anp-79-01-51.pdf |
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| author | Jennyfer Paulla Galdino CHAVES Tatiana Von Hertwig Fernandes DE OLIVEIRA Alexandre Novick FRANCISCO Mariana de Oliveira TRINTINALHA Niels Vinicius Pádua CARVALHO |
| author_facet | Jennyfer Paulla Galdino CHAVES Tatiana Von Hertwig Fernandes DE OLIVEIRA Alexandre Novick FRANCISCO Mariana de Oliveira TRINTINALHA Niels Vinicius Pádua CARVALHO |
| author_sort | Jennyfer Paulla Galdino CHAVES |
| collection | DOAJ |
| description | ABSTRACT Background: About 50% of patients that suffer from trigeminal neuralgia do not experience sustained benefit from the use of oral medication. For their adequate management, a few surgical procedures are available. Of these, percutaneous balloon compression (PBC) and microvascular decompression (MD) are two of the most performed worldwide. In this retrospective study, we present the outcomes of these techniques through estimation of initial pain relief and subsequent recurrence rate. Methods: Thirty-seven patients with medically refractory trigeminal pain surgically treated at Hospital Cajuru, Curitiba, Brazil, with PBC, MD or both between 2013 and 2018 were enrolled into this retrospective study. The post-procedural rate for pain relief and recurrence and associations between patient demographics and outcomes were analyzed. Results: MD had an earlier recurrence time than balloon compression. Of the 37 patients, the mean age was 61.6 years, approximately one third were male and most had type I neuralgia. The most affected branch was the maxillary (V2). The time for recurrence after surgery was on average 11.8 months for PBC and 9.0 months for MD. Complications were seen only with microsurgery. Conclusions: MD presented with a more precocious recurrence of pain than PBC in this article. Moreover, it had a higher recurrence rate than described in the literature as well, which is possibly explained by the type of graft (muscle) that was used to separate the neurovascular structures. |
| format | Article |
| id | doaj-art-1b08f6bbc1414218b26fa7d442c3988d |
| institution | DOAJ |
| issn | 1678-4227 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-1b08f6bbc1414218b26fa7d442c3988d2025-08-20T03:17:43ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-02-01791515510.1590/0004-282x-anp-2020-0115Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up studyJennyfer Paulla Galdino CHAVEShttps://orcid.org/0000-0003-2453-5205Tatiana Von Hertwig Fernandes DE OLIVEIRAhttps://orcid.org/0000-0002-7242-7551Alexandre Novick FRANCISCOhttps://orcid.org/0000-0003-2039-6834Mariana de Oliveira TRINTINALHAhttps://orcid.org/0000-0002-4471-5695Niels Vinicius Pádua CARVALHOhttps://orcid.org/0000-0001-9892-9798ABSTRACT Background: About 50% of patients that suffer from trigeminal neuralgia do not experience sustained benefit from the use of oral medication. For their adequate management, a few surgical procedures are available. Of these, percutaneous balloon compression (PBC) and microvascular decompression (MD) are two of the most performed worldwide. In this retrospective study, we present the outcomes of these techniques through estimation of initial pain relief and subsequent recurrence rate. Methods: Thirty-seven patients with medically refractory trigeminal pain surgically treated at Hospital Cajuru, Curitiba, Brazil, with PBC, MD or both between 2013 and 2018 were enrolled into this retrospective study. The post-procedural rate for pain relief and recurrence and associations between patient demographics and outcomes were analyzed. Results: MD had an earlier recurrence time than balloon compression. Of the 37 patients, the mean age was 61.6 years, approximately one third were male and most had type I neuralgia. The most affected branch was the maxillary (V2). The time for recurrence after surgery was on average 11.8 months for PBC and 9.0 months for MD. Complications were seen only with microsurgery. Conclusions: MD presented with a more precocious recurrence of pain than PBC in this article. Moreover, it had a higher recurrence rate than described in the literature as well, which is possibly explained by the type of graft (muscle) that was used to separate the neurovascular structures.http://www.scielo.br/pdf/anp/v79n1/1678-4227-anp-79-01-51.pdfMicrovascular Decompression SurgeryTrigeminal NeuralgiaIntractable Pain |
| spellingShingle | Jennyfer Paulla Galdino CHAVES Tatiana Von Hertwig Fernandes DE OLIVEIRA Alexandre Novick FRANCISCO Mariana de Oliveira TRINTINALHA Niels Vinicius Pádua CARVALHO Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study Arquivos de Neuro-Psiquiatria Microvascular Decompression Surgery Trigeminal Neuralgia Intractable Pain |
| title | Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study |
| title_full | Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study |
| title_fullStr | Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study |
| title_full_unstemmed | Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study |
| title_short | Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study |
| title_sort | trigeminal neuralgia recurrence a comparison of microvascular decompression and percutaneous balloon compression a five years follow up study |
| topic | Microvascular Decompression Surgery Trigeminal Neuralgia Intractable Pain |
| url | http://www.scielo.br/pdf/anp/v79n1/1678-4227-anp-79-01-51.pdf |
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