Weidmann M J
Med J Aust. 1979 Dec 15;2(12):628-30. doi: 10.5694/j.1326-5377.1979.tb127241.x.
The surgical management of trigeminal neuralgia has always been less than ideal. Evidence accumulated over the last 10 years suggests that the condition is caused by vascular compression of the trigeminal nerve root at the brain stem. Removal of this compression by means of micro-neurosurgical techniques has so far been very effective in relieving the pain of trigeminal neuralgia while maintaining normal facial sensation. A series of 10 patients who underwent this procedure is presented. All patients lost their pain, and during the follow-up period of six to 18 months, there have been no recurrences. This experience further demonstrates that the microvascular decompression is a very useful procedure in selected patients.
三叉神经痛的外科治疗一直不尽人意。过去10年积累的证据表明，该病是由脑干处三叉神经根的血管压迫所致。迄今为止，通过显微神经外科技术消除这种压迫，在缓解三叉神经痛的疼痛同时保持正常面部感觉方面非常有效。本文介绍了一组接受该手术的10例患者。所有患者的疼痛均消失，在6至18个月的随访期内，无复发情况。这一经验进一步证明，微血管减压术对特定患者是一种非常有用的手术。
