Zhao Hua, Zhang Xin, Zhu Jin, Tang Yin-da, Li Shi-Ting
Department of Neurosurgery, Xinhua hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Department of Neurosurgery, Xinhua hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
World Neurosurg. 2017 Jun;102:151-156. doi: 10.1016/j.wneu.2017.02.106. Epub 2017 Mar 2.
To examine operative findings and outcome of microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN). This research displayed the long-term outcomes of a large series of 35 cases with GPN treated with MVD.
From January 2004 to June 2006, 35 consecutive patients were diagnosed with GPN. All of them underwent MVD. Demographic data, clinical presentation, operative findings, clinical results, operative complications were reviewed.
A total of 33 patients (94.3%) experienced complete pain relief immediately after MVD. Long-term follow-up was available for 30 of these 35 patients, and 28 of these 30 patients continued to be pain-free. There was no long-term operative morbidity in all cases. One patient had a cerebrospinal fluid leak and 1 case presented with delayed facial palsy.
Classic GPN is usually caused by pulsatile neurovascular compression of the glossopharyngeal and vagus rootlets. MVD is a safe, effective, and durable operation for GPN.
研究微血管减压术（MVD）治疗舌咽神经痛（GPN）的手术发现及结果。本研究展示了一大组35例接受MVD治疗的GPN患者的长期结果。
2004年1月至2006年6月，连续35例患者被诊断为GPN。所有患者均接受了MVD。回顾了人口统计学数据、临床表现、手术发现、临床结果及手术并发症。
共有33例患者（94.3%）在MVD后立即实现完全疼痛缓解。这35例患者中有30例获得长期随访，其中28例持续无痛。所有病例均无长期手术并发症。1例患者发生脑脊液漏，1例出现迟发性面神经麻痹。
典型的GPN通常由舌咽神经和迷走神经根的搏动性神经血管压迫引起。MVD是一种治疗GPN安全、有效且持久的手术。
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