[Surgical treatment of secondary trigeminal neuralgia].

Q3 Medicine
V M Dzhafarov, E N Rozhnova, V V Gosteva, S A Mamykina, S A Melchenko, A I Volkov, O V Boyko, I V Senko
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引用次数: 0

Abstract

Objective: To present a case series analysis of surgical treatment of patients with secondary trigeminal neuralgia.

Material and methods: The treatment of 8 patients with secondary trigeminal neuralgia who underwent surgery since 2021 was analyzed. All records, neuroimaging archive, and follow-up observations were reviewed.

Results: There were 5 patients with trigeminal neuralgia associated with multiple sclerosis; with neurosarcoidosis (n=1); with tumor (n=1); with unspecified degenerative disease (n=1). The mean age was 61 years (from 48 to 73), the mean duration of disease was 7.2 years (from 5 to 13). Radiofrequency ablation (RF) was performed in 4 cases, balloon compression in 3 cases, tumor removal in 1 case. Relief of trigeminal neuralgia after surgery was observed in 7 patients, partial reduction in 1 patient. A complication was noted in a patient with neurosarcoidosis after RF with the appearance of dysesthesia, dry eye. The mean follow-up was 10 months (1 to 29). Pain recurrence occurred in 2 patients, one of them underwent the surgery twice.

Conclusion: Surgical treatment of patients with secondary trigeminal neuralgia contributes to pain relief.

【继发性三叉神经痛的外科治疗】。
目的:对继发性三叉神经痛的外科治疗进行病例系列分析。材料与方法:分析2021年以来8例手术治疗的继发性三叉神经痛患者的治疗情况。回顾所有记录、神经影像学档案和随访观察。结果:伴有多发性硬化症的三叉神经痛5例;伴有神经结节病(n=1);伴肿瘤(n=1);伴有未明确的退行性疾病(n=1)。平均年龄61岁(48 ~ 73岁),平均病程7.2年(5 ~ 13岁)。射频消融(RF) 4例,球囊压缩3例,肿瘤切除1例。术后三叉神经痛减轻7例,部分减轻1例。一例射频术后神经结节病患者出现感觉不良、干眼等并发症。平均随访10个月(1 ~ 29)。2例患者出现疼痛复发,其中1例两次手术。结论:手术治疗继发性三叉神经痛有助于缓解疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
287
审稿时长
3-6 weeks
期刊介绍: Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.
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