Trigeminal Nerve Compression (TGNC) Technique for the Treatment of Trigeminal Neuralgia; Study of 80 Cases in 10 Years
Keywords:Compression, Intracisternal component, Trigeminal nerve, Trigeminal Neuralgia
Objective: To evaluate the outcome of compression technique of trigeminal nerve at the intracisternal part of 5th nerve for trigeminal neuralgia.
Methodology: This cross sectional study was conducted in Hayatabad medical complex, Lady ready hospital and Abasin hospital Peshawer from Jun 2004 to December 2014. After taking consent from the ethical committee all post operative cases of trigeminal neuralgia of compression technique with either gender were included while post operative cases of it due mass lesion in the brain were excluded. Patient’s particulars documentation were done in pre designed proforma. Post operatively patients were followed till to 1½ years. Results were analyzed by SPSS version 20 and presented in the form of graphs, charts and tables.
Results: Total 80 patients were included in this study in which males were 60 (75%) while females were 20 (25%) cases having males to females ratio of 2;1. All the patients were in the age range of 35 to 65 years with the mean range of 45.76 ± 9.6 SD. V2, V3 pain distribution was on the top having 33 (41.25%) cases followed by V2 in 19 (23.75%). post operative outcome till to 1½ years out of 80 Patients 77 (96.2%) were completely pain free while 3 (3.8%) patients developed recurrence in the same branch of trigeminal nerve and 1(1.25%) case of CSF rhinorrhea, otorrhea and facial nerve paresis along with deafness for each of the three.
Conclusion: Compression technique for trigeminal neuralgia is safe, simple and cost effective.
Abbreviations: TGNC: Trigeminal Nerve Compression. CBC: Complete Blood Count.
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