Türk Nöroşirürji Dergisi 2016 , Vol 26 , Num 2
Microvascular Decompression for Trigeminal Neuralgia: Single Institute Experience
Serhat PUSAT1, Yahya Cem ERBAŞ2, Murat GEYİK3, Ersin ERDOĞAN2
1Gülhane Askeri Tıp Akademisi, Haydarpaşa Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Servisi, İstanbul, Türkiye
2Ufuk Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye
3Gaziantep Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Gaziantep, Türkiye
AIM: Trigeminal neuralgia is the most common facial pain syndrome. With the development of diagnostic methods, vascular pathologies have been clearly shown. Surgical treatment is the most often preferred method for the management of long-term pain. The aim of this study was to retrospectively evaluate the effectiveness of microvascular decompression for the treatment of trigeminal neuralgia.

MATERIAL and METHODS: We retrospectively reviewed the data of 49 patients who were operated at our clinic between the years 2007-2015.

RESULTS: Vascular structures that compressed the trigeminal nerve were the superior cerebellar artery, anterior inferior cerebellar artery and less frequently other neighboring venous structures The patients were aged 29-76 years (mean 47 years) and the female/ male ratio was 27/22. Microvascular decompression was performed in the lateral decubitus position in all patients. Two patients were re-operated because of continuing postoperative pain. A malposition of barrier material was detected and corrected in one. Cerebellar cortical damage and encephalomalacia were not seen in any patient.

CONCLUSION: Microvascular decompression is a safe and effective treatment method for trigeminal neuralgia. Anahtar Kelimeler : Trigeminal neuralgia, Teflon, Microvascular decompression