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

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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

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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
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