Abstract
In this retrospective investigation 7 patients operated on for recurrent trigeminal neuralgia via a suboccipital enlarged burr hole trepanation were evaluated. The intraoperative findings indicate that neo-compressive effects due to foreign material used during prior surgery are more important than adhesions around the nerve. Furthermore, the results of recurrent operations are encouraging as 6 of the 7 patients were painfree without additional neurological deficits.
MeSH terms
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Adult
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Aged
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Aged, 80 and over
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Decompression, Surgical / adverse effects
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Decompression, Surgical / methods*
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Female
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Foreign Bodies / etiology
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Foreign Bodies / surgery
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Humans
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Male
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Microsurgery / methods
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Middle Aged
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Minimally Invasive Surgical Procedures / methods
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Recurrence
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Reoperation / methods*
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Retrospective Studies
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Treatment Outcome
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Trephining / adverse effects
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Trephining / methods*
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Trigeminal Neuralgia / etiology
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Trigeminal Neuralgia / surgery*
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Vascular Surgical Procedures / adverse effects
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Vascular Surgical Procedures / methods