Outcomes of Microvascular Decompression in Patients with Trigeminal Neuralagia

Abstract

Objective: To determine the treatment outcomes of microvascular decompression in patients with trigeminal neuralagia. Study Design: Prospective/Observational Place and Duration: The study was conducted at Neurosurgery department Bacha Khan Medical College/ Mardan Medical Complex, Mardan and Al Nafees Medical College, Islamabad for duration of six months i.e from July 2020 December 2020. Methods: Thirty four patients of both genders presented with trigeminal neuralagia were enrolled in this study. Patient’s detailed demographics were recorded after taking written consent. All patients underwent microvascular decompression. Outcomes were assessed by using Borrow Neurological Institute Pain score (BNIP). Follow-up was taken at 5th post-operative day. Data was analyzed by SPSS 24.0. Results: Mean age of patients was 54.26±9.78 years. There were 20 (58.82%) were females while 14 (41.17%) were males. Postoperatively 17 (50%) patients had BNIP score 1-2 with no medication required, 12 (35.29%) patients had partial recovery with BNIP score 3 and 5 (14.71%) patients showed no recovery with BNIP score 4. Conclusion: Microvascular decompression is safe and effective treatment procedure for trigeminal neuralagia with fewer rate of complications. Keywords: Trigeminal Neuralagia, Microvascular Decompression (MVD), Effectiveness