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72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

06.06. - 09.06.2021

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Effects of microvascular decompression for trigeminal neuralgia on depression and patient satisfaction

Einfluss der mikrovaskulären Dekompression bei Trigeminusneuralgie auf Depression und Patient*innenzufriedenheit

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  • Marlies Bauer - Medizinische Universität Innsbruck, Universitätsklinik für Neurochirurgie, Innsbruck, Österreich
  • Aleksandrs Krigers - Medizinische Universität Innsbruck, Universitätsklinik für Neurochirurgie, Innsbruck, Österreich
  • Claudius Thomé - Medizinische Universität Innsbruck, Universitätsklinik für Neurochirurgie, Innsbruck, Österreich
  • presenting/speaker Christian F. Freyschlag - Medizinische Universität Innsbruck, Universitätsklinik für Neurochirurgie, Innsbruck, Österreich

Deutsche Gesellschaft für Neurochirurgie. 72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie. sine loco [digital], 06.-09.06.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocV039

doi: 10.3205/21dgnc041, urn:nbn:de:0183-21dgnc0414

Published: June 4, 2021

© 2021 Bauer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Trigeminal neuralgia (TN) is associated with severe pain and reduced quality of life. Patients often develop fear of triggering pain, aggravates potential depression. This study aimed to investigate patient satisfaction and the prevalence and risk factors for depression before and after microvascular depression (MVD).

Methods: Barrow Neurological Institute Pain Score (BNI), Beck Depression Inventory (BDI), Chronic Pain Acceptance Questionnaire (CPAQ), Perceived Stress Questionnaire (PSQ) and McGill questionnaire were used to evaluate depression and anxiety disorders before and 3 months after MVD. The clinical data were collected prospectively and statistically analyzed.

Results: A total of 34 patients (19 (55.9%) females) with a mean age of 55.4 (21-79) years were included in this study. The mean BNI pain score of 4.6 preoperatively was significantly reduced to 1.8 postoperatively (p<0.00001). The BDI improved from 2.5 (± 1.4) preoperatively, to 1.2 (± 0.6) (p <0.0001) postoperatively. CPAQ changed from 63.8 (± 13.4) to 67.1 (± 9,9) (p = 0.006). PSQ decreased from 46.9 (± 21.9) to 19.6 (± 18.6) (p <0.0001)postoperatively and McGill from 31.0 (± 11.7) to 9.4 (± 12.9, p <0.0001).

Conclusion: Depression is prevalent in patients with idiopathic TN. MVD not only provides high rate of satisfaction through pain-relief, but also leads to significant improvements in depression and anxiety symptoms. In patients with TN, microvascular decompression should be considered early in the course of the disease to minimize depression.