Intracranial microvascular decompression for "cryptogenic" hemifacial spasm, tirgeminal and glossopharyngeal neuralgia, paroxysmal vertigo and tinnitus: II. Clinical study and long-term follow up

R. Michelucci, C. A. Tassinari, G. Samoggia, F. Tognetti, F. Calbucci

Research output: Contribution to journalArticle

Abstract

20 patients who had undergone microvascular decompression for the treatment of "idiopathic" trigeminal neuralgia (9 cases), hemifacial spasm, (7 cases), glossopharyngeal neuralgia (3 cases) and paroxysmal vertigo and tinnitus (1 case) were followed up for 25 months on average. Permanent relief of symptoms was observed in 19 (95%), with sparing of cranial nerve function. Analysis of the clinical data shows that the patients described in the present series did not differ from those considered to suffer from "idiopathic" cranial nerve dysfunction syndromes. The importance of vascular cross compression as etiological factor in such conditions is stressed and the pathophysiology discussed. The term "cryptogenic" applied to trigeminal neuralgia or hemifacial spasm thus needs revising. Lastly, the indications of microvascular decompression in the treatment of "cryptogenic" cranial nerve dysfunction syndromes are defined.

Original languageEnglish
Pages (from-to)367-374
Number of pages8
JournalItalian Journal of Neurological Sciences
Volume7
Issue number3
DOIs
Publication statusPublished - Jun 1986

Fingerprint

Glossopharyngeal Nerve Diseases
Microvascular Decompression Surgery
Hemifacial Spasm
Tinnitus
Cranial Nerves
Vertigo
Trigeminal Neuralgia
Blood Vessels
Therapeutics
Clinical Studies

Keywords

  • "Cryptogenic" cranial nerve dysfunction syndromes
  • glossopharyngeal neuralgia
  • hemifacial spasm
  • intracranial microvascular decompression
  • long-term results
  • paroxysmal vertigo and tinnitus
  • trigeminal neuralgia

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this

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abstract = "20 patients who had undergone microvascular decompression for the treatment of {"}idiopathic{"} trigeminal neuralgia (9 cases), hemifacial spasm, (7 cases), glossopharyngeal neuralgia (3 cases) and paroxysmal vertigo and tinnitus (1 case) were followed up for 25 months on average. Permanent relief of symptoms was observed in 19 (95{\%}), with sparing of cranial nerve function. Analysis of the clinical data shows that the patients described in the present series did not differ from those considered to suffer from {"}idiopathic{"} cranial nerve dysfunction syndromes. The importance of vascular cross compression as etiological factor in such conditions is stressed and the pathophysiology discussed. The term {"}cryptogenic{"} applied to trigeminal neuralgia or hemifacial spasm thus needs revising. Lastly, the indications of microvascular decompression in the treatment of {"}cryptogenic{"} cranial nerve dysfunction syndromes are defined.",
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author = "R. Michelucci and Tassinari, {C. A.} and G. Samoggia and F. Tognetti and F. Calbucci",
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AU - Michelucci, R.

AU - Tassinari, C. A.

AU - Samoggia, G.

AU - Tognetti, F.

AU - Calbucci, F.

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