Outcomes of Microvascular Decompression in Patients with Trigeminal Neuralagia
Naeem Ul Haq, Anwar Shah, Shafaat Hussain, Mohammad Mushtaq, Faiza Shafqat, Roomisa Anis
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ABSTRACT
Objective: To determine the
treatment outcomes of microvascular decompression in patients with trigeminal
neuralagia.
Study Design: Prospective/Observational
Place and Duration: The study was
conducted at Neurosurgery department Bacha Khan Medical College/ Mardan Medical
Complex, Mardan and Al Nafees Medical College, Islamabad for duration of six
months i.e from July 2020 December 2020.
Methods: Thirty four patients
of both genders presented with trigeminal neuralagia 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 5th post-operative day. Data was analyzed by SPSS 24.0.
Results: Mean age of patients was 54.26±9.78 years.
There were 20 (58.82%) were females while 14 (41.17%) were males. Postoperatively
17 (50%) patients had BNIP score 1-2 with no medication required, 12 (35.29%)
patients had partial recovery with BNIP score 3 and 5 (14.71%) patients showed
no recovery with BNIP score 4.
Conclusion: Microvascular
decompression is safe and effective treatment procedure for trigeminal
neuralagia with fewer rate of complications.
Keywords: Trigeminal Neuralagia,
Microvascular Decompression (MVD), Effectiveness