Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Tytuł pozycji:

Microvascular Decompression for Trigeminal Neuralgia in Patients with Multiple Sclerosis: Predictors of Treatment Success.

Tytuł:
Microvascular Decompression for Trigeminal Neuralgia in Patients with Multiple Sclerosis: Predictors of Treatment Success.
Autorzy:
Paulo DL; Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. Electronic address: .
Lopez AM; School of Medicine, Meharry Medical College, Nashville, Tennessee, USA.
Jermakowicz WJ; Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Yu H; Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Shah H; Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Konrad PE; Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Englot DJ; Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Źródło:
World neurosurgery [World Neurosurg] 2020 Apr; Vol. 136, pp. e165-e170. Date of Electronic Publication: 2019 Dec 23.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: New York : Elsevier
MeSH Terms:
Microvascular Decompression Surgery/*methods
Multiple Sclerosis/*complications
Trigeminal Nerve/*diagnostic imaging
Trigeminal Neuralgia/*surgery
Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Multiple Sclerosis/diagnostic imaging ; Retrospective Studies ; Severity of Illness Index ; Treatment Outcome ; Trigeminal Neuralgia/complications ; Trigeminal Neuralgia/diagnostic imaging
References:
Neurosurg Focus. 2005 May 15;18(5):E5. (PMID: 15913281)
J Neurosurg. 1966 Apr;24(4):755-9. (PMID: 5934131)
Neurosurgery. 2020 Feb 1;86(2):182-190. (PMID: 30892607)
Neurosurgery. 1979 Dec;5(6):711-7. (PMID: 534082)
Neurology. 1997 Oct;49(4):1142-4. (PMID: 9339705)
Clin Neurosurg. 2010;57:129-33. (PMID: 21280505)
Ir J Med Sci. 2017 Nov;186(4):1033-1039. (PMID: 28063126)
N Engl J Med. 1996 Apr 25;334(17):1077-83. (PMID: 8598865)
J Med Life. 2013;6(4):383-8. (PMID: 24701256)
J Vis Exp. 2011 Jul 05;(53):e2590. (PMID: 21775951)
Neurology. 2016 May 31;86(22):2094-9. (PMID: 27164695)
World Neurosurg. 2016 Nov;95:208-213. (PMID: 27546336)
Clin J Pain. 2002 Jan-Feb;18(1):4-13. (PMID: 11803297)
Neurosurgery. 2010 Sep;67(3):749-53; discussion 753-4. (PMID: 20651626)
Br J Radiol. 2016 Nov;89(1067):20160392. (PMID: 27636022)
World Neurosurg. 2017 Jan;97:590-594. (PMID: 27756676)
J Neurosurg. 2018 Nov 30;:1-8. (PMID: 30544359)
World Neurosurg. 2018 Mar;111:291-306. (PMID: 29294398)
Neurosurgery. 2003 Nov;53(5):1164-6; discussion 1166-7. (PMID: 14580284)
J Clin Neurosci. 2018 Dec;58:42-48. (PMID: 30454694)
Cephalalgia. 2017 Jun;37(7):648-657. (PMID: 28076964)
Neurology. 1983 Nov;33(11):1444-52. (PMID: 6685237)
Br J Neurosurg. 1996 Feb;10(1):85-8. (PMID: 8672264)
Brain Pathol. 1998 Jan;8(1):1-11; discussion 11-2. (PMID: 9458161)
Asian J Neurosurg. 2017 Oct-Dec;12(4):585-597. (PMID: 29114270)
Neurosurgery. 2011 Jul;69(1):15-25; discussion 26. (PMID: 21346659)
Neurosurgery. 2004 Oct;55(4):830-8; discussion 838-9. (PMID: 15458591)
Neuroimage Clin. 2017 Jun 12;15:710-718. (PMID: 28702348)
World Neurosurg. 2014 Mar-Apr;81(3-4):599-603. (PMID: 24056218)
Neurosurgery. 2001 Jun;48(6):1261-7; discussion 1267-8. (PMID: 11383728)
Braz J Otorhinolaryngol. 2016 Sep-Oct;82(5):574-9. (PMID: 26832635)
Arch Neurol. 1987 Apr;44(4):379-81. (PMID: 3493757)
Grant Information:
R00 NS097618 United States NS NINDS NIH HHS; R01 NS112252 United States NS NINDS NIH HHS
Contributed Indexing:
Keywords: Microvascular decompression; Multiple sclerosis; Trigeminal neuralgia
Entry Date(s):
Date Created: 20191225 Date Completed: 20200406 Latest Revision: 20210402
Update Code:
20240105
PubMed Central ID:
PMC7096266
DOI:
10.1016/j.wneu.2019.12.081
PMID:
31874291
Czasopismo naukowe
Background: Microvascular decompression (MVD) is highly effective in managing the neuropathic facial pain of trigeminal neuralgia (TN). Its utility in patients with TN and concurrent multiple sclerosis (MS) has been a subject of debate. The goal of this study was to identify demographic and perioperative variables associated with favorable outcome after MVD over the past 20 years in patients from our institution.
Methods: A retrospective analysis of our cohort of 33 patients diagnosed with MS and TN who underwent MVD between 1997 and 2017 to treat neuropathic facial pain was performed. Perioperative variables included MS disease burden, findings on preoperative magnetic resonance imaging (MRI), TN pain severity, and the presence of intraoperative neurovascular compression. MS disease burden was quantified using the Expanded Disability Status Scale. Preoperative and postoperative pain severity was quantified using the Barrow Neurological Institute (BNI) pain severity scale.
Results: A total of 33 patients with TN and MS were treated with MVD at our institution (out of the 632 total MVDs performed) between 1997 and 2017. Twenty-two patients (67%) maintained a reduction in pain at a mean follow-up of 53.5 months. Higher preoperative BNI pain intensity score was associated with unfavorable outcome after MVD (P = 0.006). No associations were identified between MS disease burden, presence of neurovascular compression or pontine demyelinating plaques on MRI, or intraoperative findings of neurovascular compression and treatment outcomes.
Conclusions: MVD is a reasonable treatment option for patients with TN and MS, although the rate of freedom from pain is lower than that for the general TN population. Preoperative pain severity may be a predictor of treatment success.
(Copyright © 2020 Elsevier Inc. All rights reserved.)

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies