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 REVIEW ARTICLE
Year : 2009  |  Volume : 57  |  Issue : 2  |  Page : 134--138

Microvascular decompression as a surgical management for trigeminal neuralgia: A critical review of the literature


1 Department of Neurosurgery, Baskent University, Ankara, Turkey
2 Department of Neurosurgery, Suleyman Demirel University School of Medicine, Isparta, Turkey
3 Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey
4 Department of Neurosurgery, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey

Correspondence Address:
Serdar Kabatas
Department of Neurosurgery, Baskent University, Oymaci Sokak No:7 34662 Altunizade, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.51279

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Trigeminal neuralgia (TN) is a common pain syndrome and is characterized by recurrent episodes of intense lancinating pain in one or more divisions of the trigeminal nerve. Neurovascular compression (NVC) has been considered as the main cause of TN in the root entry zone (REZ) of the trigeminal nerve in the cerebellopontine angle cistern. Microvascular decompression (MVD) is the surgical procedure of choice for the treatment of medically refractory TN. MVD has also been shown to provide pain relief even in patients without visible neurovascular compression. Additionally, it has been accepted that MVD can provide the highest rate of long-term patient satisfaction with the lowest rate of pain recurrence. We did, systematic review of the subject and also our own experiences.






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