Abstract

Objective To investigate the clinical effect of microvascular decompression on patients with trigeminal neuralgia (TN) and its complications. Methods A retrospective analysis of 74 patients with microvascular decompression, admitted to our hospital from August 2002 to April 2009,was performed; the clinical data and thc treatment efficacy were analyzed. Results The total effective rate was 100% without death. Intracranial hematoma appeared in 1 patient (1.35%); edema of the cerebellum in the operated side caused 1 patient (1.35%) having non-communicating hydrocephalus and 2 (2.7%) having intracranial infection, and all were relieved symptoms after treatment. All patients were followed up for 3 months to 6 years; no recurrence was noted; facial paralysis in 2 (2.7%) and slight hearing-loss in 1were found. Conclusion Microvascular decompression, lifting the common cause of TN and fully retaining the function of trigeminal nerve, is the preferred method for treatment of TN. Key words: Trigeminal neuralgia; Microvascular decompression; Efficacy

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