Department of Neurosurgery, Novosibirsk State Medical University, Novosibirsk, Russia.
Department of Neurosurgery, Novosibirsk State University, Novosibirsk, Russia.
J Med Life. 2024 May;17(5):462-470. doi: 10.25122/jml-2024-0040.
Trigeminal neuralgia (TN), a severe facial pain condition, is often treated with microvascular decompression (MVD). While MVD is effective for arterial neurovascular compression, its efficacy in cases of venous compression and the intraoperative management of such cases remain areas of debate. This review aimed to analyze the intraoperative management strategies for offending veins during MVD and evaluate the outcomes of these procedures in cases of TN with purely venous compression. An extensive review of studies reporting on the intraoperative handling of veins and the surgical outcomes of MVD in purely venous compression cases was conducted. Fifteen full-text studies were included, encompassing a total of 600 patients. Notably, 82.33% of these patients achieved a Barrow Neurological Institute (BNI) I pain score, with follow-up periods ranging from 3 months to 12 years. MVD is a viable and effective treatment option for TN in cases of venous compression, with a significant proportion of patients experiencing substantial pain relief.
三叉神经痛（TN）是一种严重的面部疼痛疾病，常采用微血管减压术（MVD）进行治疗。虽然 MVD 对动脉性神经血管压迫有效，但对于静脉性压迫的疗效以及此类病例的术中管理仍然存在争议。本综述旨在分析 MVD 术中处理压迫静脉的策略，并评估这些方法在单纯静脉压迫引起的 TN 病例中的效果。对报道静脉术中处理和单纯静脉压迫病例 MVD 手术结果的研究进行了广泛的回顾。共纳入 15 篇全文研究，涵盖了 600 例患者。值得注意的是，这些患者中有 82.33% 达到了巴罗神经研究所（BNI）I 疼痛评分，随访时间从 3 个月到 12 年不等。MVD 是静脉压迫性 TN 的一种可行且有效的治疗选择，很大比例的患者疼痛得到了显著缓解。
