Microsurgical treatment of primary trigeminal neuralgia.docVIP

 PAGE \* MERGEFORMAT 10 Microsurgical treatment of primary trigeminal neuralgia Authors: Dong-ho, out-liang Zhao, Chen Yimin, Song Shibin, SUI Jian-Mei [Keywords:] trigeminal neuralgia; micro-surgery; neurovascular compression Trigeminal neuralgia (trigeminal neuralgia, TN) is a regional distribution of the trigeminal nerve occurs in the repeated attacks of paroxysmal pain, also known as painful cramps, and for neuropathic pain, the most common disorders, their treatment remains a neurosurgical difficulty. Although the 1976 Jannetta [1] proposed neurovascular compression is a cause of primary trigeminal neuralgia, and develop a micro-vascular decompression, but because of vascular compression is not the only reason for the Department of surgical patients in the program should be based on the specific situation to determine. 1998-2006 years treated 53 cases of primary trigeminal neuralgia using microsurgical techniques, according to whether vascular compression of intraoperative exploration were used microvascular decompression and feeling cut off the root part of the surgery, and achieved good results of operations . 1 Data and methods 1.1 General Information 1998-2006 Section I of primary trigeminal neuralgia treated in hospital patients, male 35 cases, female 18 cases. Age 37 to 76 years, with an average age of 51.3 years. Duration of 0.8 ~ 21 years, an average of 6.3 years. Were unilateral, in which Ⅱ , Ⅲ branch 38 cases of pain, Ⅲ branch pain in 13 cases, Ⅰ , Ⅱ , Ⅲ branch pain in 2 cases. Than those of severe and frequent pain episodes before surgery were a long period of conservative treatment. 1.2 imaging examination All patients had cranial CT or MRI examination to exclude secondary trigeminal neuralgia and other intracranial lesions. 1.3 Operation mode Sitting under general anesthesia, the head tilt to the lesion 15 ~ 30 ° , or lateral lesions on the lateral Mayfield-Kees head frame fixed. Check next to the central straight incision, the ma