ABSTRACT

Aim: To determine the treatment outcomes of microvascular decompression in patients with trigeminal neuralgia.

Study design: Prospective/Observational

Place and duration: Department of Neurosurgery, Bahawal Victoria Hospital, Bahawalpur from 1^st March 2019 to 31^st August 2019.

Methods: Forty patients of both genders presented with trigeminal neuralgia were enrolled in this study. Patient’s detailed demographics were recorded after taking written consent. All patients underwent microvascular decompression. Outcomes were assessed by using Borrow Neurological Institute Pain score (BNIP). Follow-up was taken at 3^rd day post-operatively. Patient’s satisfaction was also examined.

Results: Twenty five (62.5%) were females while 15 (37.5%) were males with mean age 52.4±11.5 years. Postoperatively 22 (55%) patients showed complete recovery with no medication required, 14 (35%) patients showed partial recovery (medication required) and 4 (10%) patients showed no recovery. 30 (75%) patients were satisfied while 10 (25%) were not satisfied. Complications observed in 8 (20%) patients.

Conclusion: Microvascular decompression is safe and effective treatment modality for trigeminal neuralgia with fewer rate of complications and patients unsatisfaction.

Keywords: Trigeminal neuralgia (TN), Microvascular decompression (MVD), Effectiveness, Patients satisfaction