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Recurrent Trigeminal Neuralgia Attributable to Veins after Microvascular Decompression

Recurrent Trigeminal Neuralgia Attributable to Veins after Microvascular Decompression,10.1097/00006123-200002000-00019,Neurosurgery,Sun H. Lee,Elad I

Recurrent Trigeminal Neuralgia Attributable to Veins after Microvascular Decompression   (Citations: 28)
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Journal: Neurosurgery , vol. 46, no. 2, 2000
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    • ...Many studies regarding the causes of TN and the surgical results of MVD have been reported, and arterial compression was believed to be the main cause in most cases of TN. There are few articles studying idiopathic TN caused by venous compression [7, 9, 11, 16]...
    • ...compression as the pathogenesis of TN deserves more attention of neurosurgeons, because treatment tactic to TN attributable to veins is special and the recurrence rate for this type is very high [11]...
    • ...As Lee et al. reported [11], TN attributable to venous compression recurred in about 31% cases after MVD; and if pain recurs, it is likely to recur within 1 year after the initial operation...
    • ...Most patients in this study are female, which indicates that women are more susceptible to TN caused by vein compression, in accordance with the report of Lee et al. [11]...

    Wenyao Honget al. Clinical features and surgical treatment of trigeminal neuralgia cause...

    • ...Time until relapse was not significantly different between the BA and MVD groups (12.1 vs 8.4 months, n = 8). These findings are consistent with relapse intervals found for MVD (majority less than 1 year) [30], and for BA (majority within 2 years) [28]...

    W Scott Jellishet al. Perioperative and long-term operative outcomes after surgery for trige...

    • ...Many possible causes of failure of MVD have been discussed and investigated [4, 18, 20, 23, 32, 33]...
    • ...There are several possible mechanisms for Teflon failure in MVD: it may produce adhesions severe enough to distort or irritate the trigeminal nerve [6, 9, 24, 27, 28]; it may induce granuloma formation [6, 26, 27]; it may push another vessels against the trigeminal nerve [23]; it may migrate or become dislodged and cause acute recurrence of neurovascular contact [24]; new vein formation may occur under the felt [23]; and it may cause ...
    • ...There are several possible mechanisms for Teflon failure in MVD: it may produce adhesions severe enough to distort or irritate the trigeminal nerve [6, 9, 24, 27, 28]; it may induce granuloma formation [6, 26, 27]; it may push another vessels against the trigeminal nerve [23]; it may migrate or become dislodged and cause acute recurrence of neurovascular contact [24]; new vein formation may occur under the felt [23]; and it may cause ...
    • ...Use of materials with antiangiogenesis factors, may reduce incidence of recurrent TN attributable to neovascularization [23]...

    A. M. Vitaliet al. Recurrent trigeminal neuralgia secondary to Teflon felt

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