Title: Correlation of Imageological Findings with Per-Op Findings in Microvascular Decompression for Trigeminal Neuralgia
Authors: Dr Pushkraj Baswant Birajdar, Dr Rakesh H. Jasani
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.94
Abstract
Trigeminal neuralgia (TGN) is characterized by sharp, electric shock like paroxysmal lancinating pain in the distribution of one or more branches of the trigeminal nerve on one side. Also characterized by periods of remission and initial response to Carbamazepine. 80 to 90% cases are caused by compression of the trigeminal nerve at the root entry zone by the superior cerebellar artery. 75% of patients will ultimately fail medical therapy require a surgical procedure mainly Microvascular Decompression. There is tendency for spontaneous remission with pain free intervals of weeks or months being characteristic, regardless of treatment. Most of patients are evaluated by MRI Brain CISS Scan 1.5 T study before surgery.so this study involves correlation of imaging findings of TGN with per-op findings to predict pre-op surgical planning, approach, outcome and prognosis.
Keywords: Trigeminal Neuralgia, Carbamazepine, MRI Brain CISS Scan, Microvascular Decompression.
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