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三叉神经痛微血管减压术的手术变异:技术说明与解剖学研究

Surgical variation of microvascular decompression for trigeminal neuralgia: A technical note and anatomical study.

作者信息

da Silva Otávio T, de Almeida César C, Iglesio Ricardo F, de Navarro Jessie M, Teixeira Manoel J, Duarte Kleber P

机构信息

Discipline of Neurosurgery, Departament of Neurology, Campinas State University-SP, São Paulo, Brazil.

Discipline of Neurosurgery, Departament of Neurology, University of São Paulo-SP, São Paulo, Brazil.

出版信息

Surg Neurol Int. 2016 Aug 23;7(Suppl 21):S571-6. doi: 10.4103/2152-7806.188916. eCollection 2016.

Abstract

BACKGROUND

In this article, the authors described their experience in microvascular decompression for trigeminal neuralgia.

METHODS

The microvascular decompression technique used in the authors' institution is described in a step by step manner with some illustrative cases as well as a cadaver dissection to highlight the differences with other previously described techniques.

RESULTS

Since 2013, 107 patients were operated in the Neurosurgery Division of the University of São Paulo using the described technique, with a shorter operative time and avoiding cerebellar retractor compared with classic techniques.

CONCLUSION

Our modified microvascular decompression technique for trigeminal neuralgia can be used with safety and efficiency for treating trigeminal neuralgia.

摘要

背景

在本文中,作者描述了他们在三叉神经痛微血管减压术中的经验。

方法

逐步描述了作者所在机构使用的微血管减压技术,并列举了一些说明性病例以及尸体解剖,以突出与其他先前描述技术的差异。

结果

自2013年以来,圣保罗大学神经外科使用所述技术为107例患者进行了手术,与传统技术相比,手术时间更短且避免了使用小脑牵开器。

结论

我们改良的三叉神经痛微血管减压技术可安全有效地用于治疗三叉神经痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e09/5009571/b081fa8d1507/SNI-7-571-g001.jpg

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