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Factors that may delay disappearance of trigeminal neuralgia after percutaneous balloon compression
- Department of Neurosurgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- Department of Neurosurgery, First People's Hospital of Ningyang County, Tai’an,Shandong, China
- Shandong First Medical University & Shandong Academy of Medical Sciences, Tai’an,Shandong, China
- Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China
open access
Abstract
Introduction. We set out to explore the factors that may affect delayed disappearance (DD) of trigeminal neuralgia (TN) after percutaneous balloon compression (PBC).
Material and methods. PBC was undergone by 221 patients with TN (95 male, 126 female) aged 33–89 years (mean 65). Delayed disappearance after surgery occurred in 59 patients. Follow-up continued until pain disappeared.
Results. A total of 221 patients, with an overall effective rate of 98.19%, including 59 patients with DD (26.70%), 158 patients with non-DD (71.49%), and four patients without relief, were included in this study. The time of delayed disappearance ranged from two to 30 days after surgery, with an average of c.9 days. Factors related to delayed disappearance included symptom duration (≥ 8 years), history of radiofrequency thermocoagulation, diabetes mellitus, herpes zoster, pain involving V2, and non-pear-shaped balloon. These were independent influencing factors (p < 0.05).
Conclusions. PBC is a safe and effective surgical method for treating TN. Delayed disappearance is a common phenomenon after surgery, and is influenced by many factors.
Abstract
Introduction. We set out to explore the factors that may affect delayed disappearance (DD) of trigeminal neuralgia (TN) after percutaneous balloon compression (PBC).
Material and methods. PBC was undergone by 221 patients with TN (95 male, 126 female) aged 33–89 years (mean 65). Delayed disappearance after surgery occurred in 59 patients. Follow-up continued until pain disappeared.
Results. A total of 221 patients, with an overall effective rate of 98.19%, including 59 patients with DD (26.70%), 158 patients with non-DD (71.49%), and four patients without relief, were included in this study. The time of delayed disappearance ranged from two to 30 days after surgery, with an average of c.9 days. Factors related to delayed disappearance included symptom duration (≥ 8 years), history of radiofrequency thermocoagulation, diabetes mellitus, herpes zoster, pain involving V2, and non-pear-shaped balloon. These were independent influencing factors (p < 0.05).
Conclusions. PBC is a safe and effective surgical method for treating TN. Delayed disappearance is a common phenomenon after surgery, and is influenced by many factors.
Keywords
percutaneous balloon compression, trigeminal neuralgia, delayed disappearance, symptom duration
Title
Factors that may delay disappearance of trigeminal neuralgia after percutaneous balloon compression
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Research Paper
Pages
156-162
Published online
2022-02-14
Page views
5207
Article views/downloads
814
DOI
Pubmed
Bibliographic record
Neurol Neurochir Pol 2022;56(2):156-162.
Keywords
percutaneous balloon compression
trigeminal neuralgia
delayed disappearance
symptom duration
Authors
Wenming Lv
Wenjing Hu
Lingyi Chi
Liangwen Zhang
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