JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (4): 83-86.doi: 10.6040/j.issn.1671-7554.0.2014.764

Previous Articles     Next Articles

Simple endoscopic vascular decompression in the treatment of trigeminal neuralgia

WANG Jiwei, LI Chao, CHEN Teng, ZHANG Wenhua, LI Weiguo, MA Xiangyu, XU Shujun, LI Xingang   

  1. Department of Neurosurgery, Qilu Hospital of Shandong University; Brain Science Research Institute, Shandong University, Jinan 250012, Shandong, China
  • Received:2014-10-29 Revised:2014-12-23 Online:2015-04-10 Published:2015-04-10

PDF (PC)

241

Abstract: Objective To explore the operative technique and clinical value of simple endoscopic vascular decompression (EVD) for trigeminal neuralgia. Methods Clinical data of 35 cases of primary trigeminal neuralgia treated with simple EVD during Nov. 2013 and Sept. 2014 were retrospectively reviewed. Pain relief, operation time and postoperative complications were analyzed. Results Of all patients, 33 achieved immediate postoperative pain control and 2 obtained obvious pain relief. Mean operation time was 85.6 minutes and the complication rate was 2.8%. No death or recurrence were detected during follow-up. Conclusion Neuroendoscopy can complete trigeminal microvascular decompression alone, eliminate the blind area in traditional microscopic surgery, and significantly reduce the injury to blood vessels, nerves and brain tissues. Endoscopic vascular decompression is a safe and effective alternative for traditional microvascular decompression or neuroendoscopy-assisted microvascular decompression.

Key words: Trigeminal neuralgia, Microvascular decompression, Neuroendoscopy

CLC Number: 

  • R651.1
[1] Cohen-Gadol AA. Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: Naunces of the technique based on experiences with 100 patients and review of the literature[J]. Clin Neurol Neurosurg, 2011, 113(10): 844-853.
[2] Teo C, Nakaji P, Mobbs RJ. Endoscope-assisted microvascular decompression for trigeminal neuralgia: technical case report[J]. Neurosurgery, 2006, 59(4): 489-490.
[3] Sarsam Z, Garcia-Finana M, Nurmikko TJ, et al. The long-term outcome of microvascular decompression for trigeminalneuralgia[J]. Br J Neurosurg, 2010, 24(1): 18-25.
[4] 常庆勇, 段云平, 高宝山, 等. 显微血管减压术治疗三叉神经痛的解剖学发现[J]. 中华神经外科杂志, 2007, 23(10): 746-748.
[5] 黄琦丹, 郑捷敏, 文超勇, 等. 显微血管减压术治疗35例原发性三叉神经痛患者疗效分析[J]. 中华脑科疾病与康复杂志, 2011, 1(2): 169-171. HUANG Qidan, ZHENG Jiemin, WEN Chaoyong, et al. Microvascular decompression treatment for 35 cases with primary trigeminal neuralgia[J]. Chin J Brain Dis Rehabil, 2011, 1(2): 169-171.
[6] Magnan J, Chays A, Lepetre C, et al. Surgical perspectives of endoscopy of the cerebellopontine angle[J]. Am J Otology, 1994, 15(3): 366-370.
[7] Miyazaki H, Deveze A, Magnan J. Neuro-otologic surgery through minimally invasive retrosigmoid approach: endoscope assisted microvascular decompression, vestibular neurotomy and tumor removal[J]. Laryngoscope, 2005, 115(9):1612-1617.
[8] Jarrahy R, Eby JB, Cha ST, et al. Fully endoscopic vascular decompression of the trigeminal nerve[J]. Minim Invasive Neurosurg, 2002, 45(1): 32-35.
[9] Setty P, Volkov AA, D'Andrea KP, et al. Endoscopic vascular decompress-ion for the treatment of trigeminal neuralgia: clinical outcomes and technical note[J]. World Neurosurg, 2014, 81(3-4):603-608.
[10] Kabil MS, Eby JB, Shahinian HK. Endoscopic vascular decompression versus microvascular decompression of the trigeminal nerve[J]. Minim Invasive Neurosurg, 2005, 48(4): 207-212.
[1] ZHANG Bin, ZHANG Liangwen, CHI Lingyi, WANG Chuanwei, ZHU Shugan. Influencing factors on the curative effect of microvascular decompression in the treatment of primary trigeminal neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 69-72.
[2] FENG Zichao, WANG Jiwei, LI Chao, LI Weiguo, CHEN Teng, MA Xiangyu, XU Shujun, LI Xingang. Role of pure neuroendoscopy in cerebellopontine angle area surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(10): 71-75.
[3] WANG Chunlai, XU Shujun, WANG Hongliang, SHANG Jingrui. Neuroendoscopic repair of traumatic cerebrospinal fluid rhinorrhea [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(3): 69-72.
[4] XU Ran, MA Xiangyu, LI Weiguo, LI Chao, ZHANG Xin, XU Shujun, LI Xingang. Neuroendoscopic microvascular decompression for hemifacial spasm through retrosigmoid key hole approach [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(10): 55-57.
[5] HAN Jie1, LIU Yi-qing1, REN Yan-yan2, LUAN De-heng1, GAO Kun1, XIE Feng-yang1. Changes of substance P and betaEndorphin in the brain of  rats with trigeminal neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(8): 45-48.
[6] ZHOU Ting-fa1, TANG Zhen-shen2. Effect of dexmedetomidine on general anesthesia in
hypertensive patients undergoing craniectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(8): 81-.
[7] ZHANG Liang-wen, WANG Ping, LI Feng, YANG Yang, ZHU Shu-gan. Treatment of primary trigeminal neuralgia by microvascular  decompression: report of 142 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(3): 99-101.
[8] ZHANG Liang-wen, WANG Ping, LI Feng, YANG Yang, ZHU Shu-gan. Treatment of primary trigeminal neuralgia by microvascular  decompression: report of 142 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(3): 99-101.
[9] WANG Lei,XU Shu-jun,ZHOU Mao-de,JIANG Yu-quan. Neuronavigatio-guided percutaneous radio-frequency thermo-coagulation in treatment of intractable trigeminal neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(9): 965-967.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd