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Recurrent trigeminal neuralgia caused by an inserted prosthesis: Report of two cases

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Summary

We report two cases of recurrent trigeminal neuralgia caused by an inserted prosthesis. Teflon material or polyurethane sponge inserted between the trigeminal nerve and the superior cerebellar artery became hardened and compressed the trigeminal nerve 17 months (Teflon) and 9 years (polyurethane sponge) respectively after the initial surgery. On the basis of these cases, it is suggested that actual decompression of the trigeminal nerve is important in surgery for trigeminal neuralgia, and that the prosthesis should not touch the trigeminal nerve.

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References

  1. Adams CB (1989) Microvascular compression: an alternative view and hypothesis. J Neurosurg 70: 1–12

    PubMed  Google Scholar 

  2. Bederson JB, Wilson CB (1989) Evaluation of microvascular decompression and partial sensory rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71: 359–367

    PubMed  Google Scholar 

  3. Fujimaki T (1994) Microvascular decompression [letter]. J Neurosurg 80: 1131–1132

    PubMed  Google Scholar 

  4. Fujimaki T, Fukushima T, Miyazaki S (1990) Percutaneous retrogasserian glycerol injection in the management of trigeminal neuralgia: long-term follow-up results. J Neurosurg 73: 212–216

    PubMed  Google Scholar 

  5. Fujimaki T, Toyoda T, Sasaki T, Kirino T (1993) Diagnosis and surgical treatment of trigeminal neuralgia — with special reference to the vascular transposition technique. Neurosurg Lett 4: 111–118

    Google Scholar 

  6. Fukushima T (1982) Posterior fossa microvascular decompression in the management of hemifacial spasm and trigeminal neuralgia. No Shinkei Geka 10: 1257–1261

    PubMed  Google Scholar 

  7. Fukushima T (1988) Decompression vasculaire micro-chirurgicale du trijumeau pour le traitement du “tic douloureux”. In: Les Algies Cranio-Faciales. J Otoneuroophthalmol 31–33

  8. Gardner WJ (1962) Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J Neurosurg 19: 947–958

    PubMed  Google Scholar 

  9. Gardner WJ, Miklos MV (1959) Response of trigeminal neuralgia to “decompression” of sensory root. J Am Med Assoc 170: 1773–1776

    PubMed  Google Scholar 

  10. Gelber BR, Gogela LJ, Pierson EW (1989) Posterior fossa partial trigeminal rhizotomy: an alternative to microvascular decompression. Nebr Med J 74: 105–108

    PubMed  Google Scholar 

  11. Jannetta PJ (1967) Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg 26: 159–162

    PubMed  Google Scholar 

  12. Jannetta PJ (1976) Microsurgical approach to the trigeminal nerve for tic douloureux. Prog Neurol Surg 7: 180–200

    Google Scholar 

  13. Jannetta PJ, Bissonette DJ (1985) Management of the failed patient with trigeminal neuralgia. Clin Neurosurg 32: 334–347

    PubMed  Google Scholar 

  14. Kondo A, Ishikawa J, Hiwatashi S, Yamasaki T, Koyama T (1979) Surgical results of the treatment of hemifacial spasm, tinnitus and trigeminal neuralgia by the method of “microvascular decompression”. No Shinkei Geka 7: 677–685

    PubMed  Google Scholar 

  15. Linskey ME, Jho HD, Jannetta PJ (1994) Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar compression. J Neurosurg 81: 1–9

    PubMed  Google Scholar 

  16. Lunsford LD, Apfelbaum RI (1985) Choice of surgical therapeutic modalities for treatment of trigeminal neuralgia: Microvascular decompression, percutaneous retrogasserian thermal, or glycerol rhizotomy. Clin Neurosurg 32: 319–333

    PubMed  Google Scholar 

  17. Moller AR (1991) The cranial nerve vascular compression syndrome: I. A review of treatment. Acta Neurochir (Wien) 113: 18–23

    Google Scholar 

  18. Nagata K, Sasaki T, Basugi N (1986) Radiopaque synthetic sponge as a prosthesis for microvascular decompression. J Neurosurg 65: 564–565

    PubMed  Google Scholar 

  19. Sindou M, Amrani F, Mertens P (1991) Does microsurgical vascular decompression for trigeminal neuralgia work through a neocompressive mechanism? Anatomical-surgical evidence for a decompressive effect. Acta Neurochir (Wien) [Suppl] 52: 127–129

    Google Scholar 

  20. Stone JL, Lichtor T, Crowell RM (1993) Microvascular sling decompression for trigeminal neuralgia secondary to ectatic vertebrobasilar compression. Case report. J Neurosurg 79: 943–945

    PubMed  Google Scholar 

  21. Suwa H, Hanakita J, Mizuno M, Namura S, Ohtsuka T, Asahi M, Li W, Kondoh A (1993) Long-term follow-up of trigeminal neuralgic patients treated by retrogasserian rhizotomy or by microvascular decompression. No Shinkei Geka 21: 29–36

    PubMed  Google Scholar 

  22. Young JN, Wilkins RH (1993) Partial sensory trigeminal rhizotomy at the pons for trigeminal neuralgia. J Neurosurg 79: 680–687

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Faculty of Medicine, University of Tokyo, Japan

    T. Fujimaki, K. Hoya, T. Sasaki & T. Kirino

  2. Department of Neurosurgery, Suwa Central Hospital, Japan

    T. Fujimaki & K. Hoya

Authors
  1. T. Fujimaki
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  2. K. Hoya
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  3. T. Sasaki
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  4. T. Kirino
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Fujimaki, T., Hoya, K., Sasaki, T. et al. Recurrent trigeminal neuralgia caused by an inserted prosthesis: Report of two cases. Acta neurochir 138, 1307–1310 (1996). https://doi.org/10.1007/BF01411060

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  • DOI: https://doi.org/10.1007/BF01411060

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