Management of veins during microvascular decompression for idiopathic trigeminal neuralgia.
作者信息
Zhao Xu, Hao Shuai, Wang Minqing, Han Chao, Xing Deguang, Wang Chengwei
机构信息
a Department of Neurosurgery , The Second Hospital of Shandong University , Jinan , Shandong Province , China.
b Department of Neurosurgery , People's Hospital of Juye County , Juye , Shandong Province , China.
出版信息
Br J Neurosurg. 2018 Oct;32(5):484-488. doi: 10.1080/02688697.2018.1476674. Epub 2018 May 24.
OBJECT
To summarize our experience in treating veins during microvascular decompression (MVD) procedures for idiopathic trigeminal neuralgia (TN).
METHODS
A total of 210 patients who underwent single MVD for idiopathic TN were retrospectively studied. The offending vessels were summarized. The treatment choices for veins during the operation were reviewed. Postoperative long-term outcomes were determined by follow-up.
RESULTS
Veins accounted for 26.7% of the total 262 offending vessels. Neurovascular conflicts were caused by veins alone in 23 patients (11.2%), and they were caused by arteries and veins together in 47 patients (22.8%). The offending veins were cut (15.7%) or saved (84.3%) during the operation. Excellent long-term outcomes were acquired in 78.3% of the patients with venous type TN.
CONCLUSION
There are no acknowledged principles guiding the treatment of veins during MVD. Our primary treatment principle is to retain veins as often as possible.
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