Life-threatening complications after microvascular decompression procedure: Lessons from a consecutive series of 596 patients

Yue, Yong; Zhao, Zhenran; Liu, De-Cai; Liu, Heng-Jian; Lu, Dong-Lin; Zhang, Heng; Jin, Peng

doi:10.1016/j.jocn.2021.01.014

Cited by 6 publications

(2 citation statements)

References 36 publications

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“…Various reports on cranial nerve-related complications are available. Approximately 1.6–22% of trigeminal nerve deficits have been reported, but about half are transient symptoms [ 7 , 52 , 63 , 66 ]. Facial weakness is reported to be 0.6–10.6%, but it improves over time [ 13 , 29 , 40 , 63 ].…”

Section: Complicationsmentioning

confidence: 99%

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Surgical Treatment for Trigeminal Neuralgia

Park

2022

J Korean Neurosurg Soc

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Various treatments for trigeminal neuralgia (TN) are known to yield initial satisfactory results; however, the surgical treatment has excellent long-term outcomes and a low recurrence rate. Surgical treatment addresses the challenge of vascular compression, which accounts for 85% of the causes of TN. As for surgical treatment for TN, microvascular decompression (MVD) has become the surgical treatment of choice after Peter J. Jannetta reported the results of MVD surgery in 1996. Since then, many studies have reported a success rate of over 90% for the initial surgical treatment. Most MVDs aim to separate (decompress) the culprit vessel from the trigeminal nerve. To increase the success rate of surgery, accurate indications for MVD and management of the offender vessels without complications are critical. In addition, if there is no vascular compression, partial sensory rhizotomy or internal neurolysis can be performed to improve surgical outcomes.

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Section: Complicationsmentioning

confidence: 99%

“…Facial weakness is reported to be 0.6–10.6%, but it improves over time [ 13 , 29 , 40 , 63 ]. Hearing loss is variously reported (1.2–6.8%) [ 53 , 60 , 63 , 64 , 66 ]; however, in large-scale studies, 1.8% experienced it [ 9 ]. Cerebrospinal fluid (CSF) leaks are found in 1.5–4% [ 21 , 32 , 56 ].…”

Section: Complicationsmentioning

confidence: 99%