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http://dx.doi.org/10.3340/jkns.2021.0265

Surgical Treatment for Trigeminal Neuralgia  

Park, Chang Kyu (Department of Neurosurgery, College of Medicine, Kyung Hee University)
Park, Bong Jin (Department of Neurosurgery, College of Medicine, Kyung Hee University)
Publication Information
Journal of Korean Neurosurgical Society / v.65, no.5, 2022 , pp. 615-621 More about this Journal
Abstract
Various treatments for trigeminal neuralgia (TN) are known to yield initial satisfactory results; however, the surgical treatment has excellent long-term outcomes and a low recurrence rate. Surgical treatment addresses the challenge of vascular compression, which accounts for 85% of the causes of TN. As for surgical treatment for TN, microvascular decompression (MVD) has become the surgical treatment of choice after Peter J. Jannetta reported the results of MVD surgery in 1996. Since then, many studies have reported a success rate of over 90% for the initial surgical treatment. Most MVDs aim to separate (decompress) the culprit vessel from the trigeminal nerve. To increase the success rate of surgery, accurate indications for MVD and management of the offender vessels without complications are critical. In addition, if there is no vascular compression, partial sensory rhizotomy or internal neurolysis can be performed to improve surgical outcomes.
Keywords
Trigeminal neuralgia; Microsurgery; Rhizotomy; Microvasclar decompression; Neurosurgical procedures;
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Times Cited By KSCI : 2  (Citation Analysis)
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