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Efficacy and safety of microvascular decompression for the treatment of elderly patients with trigeminal neuralgia

التفاصيل البيبلوغرافية
العنوان: Efficacy and safety of microvascular decompression for the treatment of elderly patients with trigeminal neuralgia
المؤلفون: Gang SONG, Yu-hai BAO, Hong-chuan GUO, Jian-tao LIANG, Ming-chu LI, Xu WANG, Ge CHEN
المصدر: Chinese Journal of Contemporary Neurology and Neurosurgery, Vol 18, Iss 9, Pp 669-673 (2018)
بيانات النشر: Tianjin Huanhu Hospital, 2018.
سنة النشر: 2018
المجموعة: LCC:Neurology. Diseases of the nervous system
مصطلحات موضوعية: Trigeminal neuralgia, Microsurgery, Postoperative complications, Aged, Neurology. Diseases of the nervous system, RC346-429
الوصف: Objective To analyze the efficacy and safety of microvascular decompression (MVD) for the treatment of elderly patients with trigeminal neuralgia (TN). Methods A total of 286 primary TN patients [50 cases of age ≥ 70 years (older group) and 236 cases of age < 70 years (younger group)] underwent MVD via suboccipital sigmoid approach. Postoperative complications were recorded, including facial numbness of operation side, hearing loss of operation side, cerebrospinal fluid (CSF) leakage, poor wound healing, intracranial infection and hydrocephalus. Barrow Neurological Institute (BNI) grade was used to evaluate the relief of TN before and after surgery and during the follow-up. The recurrence rate during follow-up period was recorded. Results Of all cases, 36 (12.59%) presented with postoperative complications, including 18 cases (6.29%) of facial numbness of operation side, 13 cases (4.55%) of hearing loss of operation side, one case (0.35%) of CSF leakage, one case (0.35%) of poor wound healing, 2 cases (0.70% ) of intracranial infection and one case (0.35% ) of hydrocephalus. In those 36 cases, 29 cases (12.29% ) were in younger group and 7 cases (14% ) were in older group, and there was no significant difference between 2 groups (χ2 = 0.110, P = 0.740). The mean follow-up period was 29.43 months. During the follow-up, 170 cases (78.70%) had complete pain relief (BNI gradeⅠ), 10 cases (4.63%) had partial pain relief (BNI gradeⅡ-Ⅲ), 14 cases (6.48%) had no pain relief (BNI grade Ⅳ-Ⅴ), and 22 (10.19%) recurred TN in 216 cases of the younger group; 35 cases (79.55%) had complete pain relief (BNI gradeⅠ), 2 cases (4.55%) had partial pain relief (BNI grade Ⅱ-Ⅲ), one case (2.27%) had no pain relief (BNI grade Ⅳ- Ⅴ), and 6 cases (13.64% ) recurred TN in 44 cases of the older group. There was no significant difference on prognosis between 2 groups (χ2 = 1.530, P = 0.675). Kaplan-Meier curve showed the rate of complete pain relief was decreased with time. Conclusions Pure MVD for treating elderly patients with TN is safe and effective, without postoperative death or severe complications.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Chinese
تدمد: 1672-6731
Relation: http://www.cjcnn.org/index.php/cjcnn/article/view/1838; https://doaj.org/toc/1672-6731
DOI: 10.3969/j.issn.1672-6731.2018.09.008
URL الوصول: https://doaj.org/article/0ab2b033d4324b94a9a03e20cdccd1a7
رقم الأكسشن: edsdoj.0ab2b033d4324b94a9a03e20cdccd1a7
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16726731
DOI:10.3969/j.issn.1672-6731.2018.09.008