Elsevier

World Neurosurgery

Volume 80, Issues 3–4, September–October 2013, Pages 302-303
World Neurosurgery

Perspectives
Trigeminal Neuralgia without Vascular Conflict: Strategies and Outcomes when the Culprit Goes Missing

https://doi.org/10.1016/j.wneu.2012.11.012Get rights and content

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  • Pain-Free Outcomes and Durability of Surgical Intervention for Trigeminal Neuralgia: A Comparison of Gamma Knife and Microvascular Decompression

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    The MVD group included 18 articles with 2650 patients, and the GKS group included 25 articles with 2846 patients.1,5-45 The MVD group had46,47 a significantly higher rate of initial pain-free outcomes (BNI I) compared with GKS (92.22% vs. 61.46%, P < 0.0001) (Table 2). Additionally, MVD was found to have a significantly higher rate of long-term pain-free outcomes at last follow-up compared with GKS (79.37% vs. 41.62%, P < 0.0001) (Table 2).

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Commentary on: Efficacy and Safety of Root Compression of Trigeminal Nerve for Trigeminal Neuralgia without Evidence of Vascular Compression by Revuelta-Gutierrez et al. pp. 385-389.

Oren Sagher, M.D., Professor, Department of Neurosurgery, University of Michigan

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