Departamento de Neurocirugía, Universidad de Cartagena, Cartagena, Colombia.
Cir Cir. 2022;90(4):548-555. doi: 10.24875/CIRU.20000772.
Trigeminal neuralgia is a painful disorder of the face that negatively affects the functionality of those who suffer from it. Microvascular decompression remains the top choice for its short and long-term outcomes. In those who are not candidates for open surgery, ablative options become valuable, including radiosurgery, and radiofrequency, balloon, and glycerol rhizotomies. Radiosurgery can be useful in cases of trigeminal neuralgia associated with multiple sclerosis. A scheme is proposed to facilitate decision-making considering outcomes, predictors of response and complication rates.
三叉神经痛是一种面部疼痛疾病，会对患者的功能产生负面影响。微血管减压术因其短期和长期效果仍然是首选。对于那些不适合开放手术的患者，消融治疗是一种有价值的选择，包括伽玛刀放射外科手术、射频、球囊和甘油根切术。对于多发性硬化症相关的三叉神经痛，放射外科手术可能是有用的。本文提出了一种方案，以方便考虑结果、反应预测因子和并发症发生率来进行决策。
