Case Against Microvascular Decompression in the Treatment of Trigeminal Neuralgia

Trigeminal Neuralgia and Other Craniofacial Pain Syndromes: An Overview

“…57 Several have questioned the use of a procedure with nonzero mortality for a benign disease and propose the use of the percutaneous procedures for most surgical management of TN. [58][59][60] Currently, the most common indication for partial sensory rhizotomy is as an alternative to microvascular decompression when a convincing neurovascular impingement is not found, as noted in up to 14 to 21% of cases. 35,61,62 Compared with microvascular decompression, partial sensory rhizotomy has fewer good results, and generally major recurrences are more common.…”

Trigeminal Neuralgia and Other Craniofacial Pain Syndromes: An Overview

“…57 Several have questioned the use of a procedure with nonzero mortality for a benign disease and propose the use of the percutaneous procedures for most surgical management of TN. [58][59][60] Currently, the most common indication for partial sensory rhizotomy is as an alternative to microvascular decompression when a convincing neurovascular impingement is not found, as noted in up to 14 to 21% of cases. 35,61,62 Compared with microvascular decompression, partial sensory rhizotomy has fewer good results, and generally major recurrences are more common.…”

Trigeminal neuralgia and other neuropathic pain syndromes of the head and face

“…The clinical presentation of the patient clearly influences the surgical outcome after MVD [57]. Several have questioned the use of a procedure with a non-zero mortality rate for a benign disease, and propose the use of the percutaneous procedures for most surgical management of TN [58][59][60].…”

Neurosurgery at the Toronto General Hospital, 1924 – 1990: Part 2

“…3 In later years he watched, with some concern, the growing popularity of posterior fossa microvascular decompression. 4 Morley also made valuable contributions in vascular neurosurgery, including the first definition and characterization of "giant" intracranial aneurysms, 5 and along with Hugenholtz a detailed analysis of the results of a once popular and still occasionally justifiable treatment for anterior communicating artery aneurysms: proximal anterior cerebral artery occlusion. 6 Another important report pointed out the possibility of post-traumatic dural fistulae and cerebrospinal fluid leakage from lateral extensions of the sphenoid sinus.…”

Trigeminal Neuralgia and Other Craniofacial Pain Syndromes: An Overview

“…57 Several have questioned the use of a procedure with nonzero mortality for a benign disease and propose the use of the percutaneous procedures for most surgical management of TN. [58][59][60] Currently, the most common indication for partial sensory rhizotomy is as an alternative to microvascular decompression when a convincing neurovascular impingement is not found, as noted in up to 14 to 21% of cases. 35,61,62 Compared with microvascular decompression, partial sensory rhizotomy has fewer good results, and generally major recurrences are more common.…”

Trigeminal neuralgia and other neuropathic pain syndromes of the head and face

“…The clinical presentation of the patient clearly influences the surgical outcome after MVD [57]. Several have questioned the use of a procedure with a non-zero mortality rate for a benign disease, and propose the use of the percutaneous procedures for most surgical management of TN [58][59][60].…”

Neurosurgery at the Toronto General Hospital, 1924 – 1990: Part 2

“…3 In later years he watched, with some concern, the growing popularity of posterior fossa microvascular decompression. 4 Morley also made valuable contributions in vascular neurosurgery, including the first definition and characterization of "giant" intracranial aneurysms, 5 and along with Hugenholtz a detailed analysis of the results of a once popular and still occasionally justifiable treatment for anterior communicating artery aneurysms: proximal anterior cerebral artery occlusion. 6 Another important report pointed out the possibility of post-traumatic dural fistulae and cerebrospinal fluid leakage from lateral extensions of the sphenoid sinus.…”

Trigeminal Neuralgia and Other Craniofacial Pain Syndromes: An Overview

“…57 Several have questioned the use of a procedure with nonzero mortality for a benign disease and propose the use of the percutaneous procedures for most surgical management of TN. [58][59][60] Currently, the most common indication for partial sensory rhizotomy is as an alternative to microvascular decompression when a convincing neurovascular impingement is not found, as noted in up to 14 to 21% of cases. 35,61,62 Compared with microvascular decompression, partial sensory rhizotomy has fewer good results, and generally major recurrences are more common.…”

Trigeminal neuralgia and other neuropathic pain syndromes of the head and face

“…The clinical presentation of the patient clearly influences the surgical outcome after MVD [57]. Several have questioned the use of a procedure with a non-zero mortality rate for a benign disease, and propose the use of the percutaneous procedures for most surgical management of TN [58][59][60].…”

Neurosurgery at the Toronto General Hospital, 1924 – 1990: Part 2

“…3 In later years he watched, with some concern, the growing popularity of posterior fossa microvascular decompression. 4 Morley also made valuable contributions in vascular neurosurgery, including the first definition and characterization of "giant" intracranial aneurysms, 5 and along with Hugenholtz a detailed analysis of the results of a once popular and still occasionally justifiable treatment for anterior communicating artery aneurysms: proximal anterior cerebral artery occlusion. 6 Another important report pointed out the possibility of post-traumatic dural fistulae and cerebrospinal fluid leakage from lateral extensions of the sphenoid sinus.…”