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Acta Neurochirurgica
Published in: Acta Neurochirurgica 9/2013

01-09-2013 | Clinical Article - Vascular

Long-term results of microvascular decompression for trigeminal neuralgia and hemifacial spasms according to preoperative symptomatology

Authors: Tiril Sandel, Per Kristian Eide

Published in: Acta Neurochirurgica | Issue 9/2013

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Abstract

Background

Microvascular decompression (MVD) is currently used in several centres for the treatment of trigeminal neuralgia (TN) and hemifacial spasms (HFS). How long-term results relate to the preoperative symptoms still needs to be documented. The primary aim of this study was to assess long-term results of MVD for TN and HFS, as related to the types of preoperative symptoms.

Methods

We performed a retrospective study including all first-time MVDs for TN and HFS done during the 11-year period (1999–2009) in the Department of Neurosurgery, The National Hospital (Rikshospitalet), Oslo. The patients were categorized depending on the pre-operative symptomatology.

Results

The study population includes 303 first-time procedures performed by the senior author (PKE), 243 TN patients (65 % TN without constant pain and 35 % TN with constant pain) and 60 HFS patients (95 % typical HFS and 5 % atypical HFS). The patients were followed for a mean 71 months (range, 14–147). In both the TN and HFS patients, MVD caused lasting symptom relief in a high proportion of patients, including patients with atypical symptoms.

Conclusion

After MVD for TN and HFS, regardless of preoperative symptoms, lasting relief is observed in a high proportion of patients, with a favorable complication profile.
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Metadata
Title
Long-term results of microvascular decompression for trigeminal neuralgia and hemifacial spasms according to preoperative symptomatology
Authors
Tiril Sandel
Per Kristian Eide
Publication date
01-09-2013
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-013-1816-8

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