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59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

01. - 04.06.2008, Würzburg

Microvascular decompression for trigeminal neuralgia – Our experience

Meeting Abstract

Suche in Medline nach

  • corresponding author F. Tuniz - Neurosurgical department, Azienda Ospedaliero Universitaria di Udine, Italy
  • M. Vindigni - Neurosurgical department, Azienda Ospedaliero Universitaria di Udine, Italy
  • M. Skrap - Neurosurgical department, Azienda Ospedaliero Universitaria di Udine, Italy

Deutsche Gesellschaft für Neurochirurgie. Società Italiana di Neurochirurgia. 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch). Würzburg, 01.-04.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocDI.09.04

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2008/08dgnc207.shtml

Veröffentlicht: 30. Mai 2008

© 2008 Tuniz et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Microvascular decompression is an accepted, safe and useful surgical technique for the treatment of trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, and other cranial nerve rhizopathies.

The aim of microdecompressive surgery is to alleviate pulsatile vascular compression on the trigeminal or facial nerves at the root entry zone and along the nerve.

Methods: Between 1990 and 2006, among a series of 207 microdecompressive surgical procedures, 156 patients affected by TN underwent microvascular decompression performed by the senior author (M.S.).

Results: The overall rate of immediate postoperative pain relief was 98%. At two-years follow-up, 141 patients (90%) were totally pain free. There was no surgical mortality in this series, and the morbidity was 2%. The rate of cerebrospinal fistulas was 1%.

Conclusions: In this video the authors conducted a review of MVD operations discussing different anatomical pictures and also a sling technique in which the culprit vessel was transposed and then maintained in position by the arachnoid membrane of the cerebellopontine cistern. A shredded Teflon felt is used then to maintain the position of the vessel avoiding direct contact of the prosthetic material with the nerve. Using this technique we minimize a direct trauma to the nerve and the possibility of scar tissue around it.