Chang Kyung Won, Jung Hyun Ho, Chang Jin Woo
Brain Research Institute, Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
J Korean Neurosurg Soc. 2022 Sep;65(5):622-632. doi: 10.3340/jkns.2022.0074. Epub 2022 Jun 9.
Microvascular decompression is the gold standard for the treatment of trigeminal neuralgia (TN). However, percutaneous techniques still play a role in treating patients with TN and offer several important advantages and efficiency in obtaining immediate pain relief, which is also durable in a less invasive and safe manner. Patients' preference for a less invasive method can influence the procedure they will undergo. Neurovascular conflict is not always a prerequisite for patients with TN. In addition, recurrence and failure of the previous procedure can influence the decision to follow the treatment. Therefore, indications for percutaneous procedures for TN persist when patients experience idiopathic and episodic sharp shooting pain. In this review, we provide an overview of percutaneous procedures for TN and its outcome and complication.
微血管减压术是治疗三叉神经痛(TN)的金标准。然而,经皮技术在治疗TN患者中仍发挥着作用,并且在获得即时疼痛缓解方面具有几个重要优势和效率,而且以微创和安全的方式实现的疼痛缓解也是持久的。患者对微创方法的偏好会影响他们将接受的手术。神经血管冲突并非TN患者的必要条件。此外,先前手术的复发和失败会影响后续治疗的决策。因此,当患者出现特发性发作性剧痛时,TN经皮手术的适应证仍然存在。在本综述中,我们概述了TN的经皮手术及其结果和并发症。