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Microvascular decompression for trigeminal neuralgia using the 'Stitched Sling Retraction' technique in recurrent cases after previous microvascular decompression.
Acta Neurochir (Wien). 2014 Jun; 156(6):1181-7; discussion 1187.AN

Abstract

BACKGROUND

Microvascular decompression is a well-known therapeutic option for trigeminal neuralgia. It is considered safe and effective, and is the surgical treatment of choice for the malady. However, there is no standard technique for it and different authors have proposed different techniques of performing it. In this study, we observe the clinical results of the so-called 'stitched sling retraction' technique for recurrent cases of trigeminal neuralgia.

METHODS

Twelve consecutive patients with recurrent trigeminal neuralgia after previous microvascular decompression(s) were admitted to our institution form February 2009 to February 2011 and underwent microvascular decompression of the trigeminal nerve using the 'stitched sling retraction' technique. In this technique, the offending loop of the superior cerebellar artery is retracted from the nerve and, using a silk thread loop around it, is suspended to the adjacent tentorium.

RESULTS

All patients experienced pain resolution during the immediate post-operative period or within the first 6 months after surgery. They were followed for 24 to 38 months. No recurrence occurred.

CONCLUSIONS

The 'stitched sling retraction' technique shows promising preliminary results in recurrent cases of trigeminal neuralgia after previous microvascular decompression(s). Since it is a 'transposing' technique, it might be associated with less recurrence rates (due to resuming of the neurovascular conflict) than the classic interposing technique, which uses a prosthesis between the offending vessel and the trigeminal nerve.

Authors+Show Affiliations

Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran, tayebi_a77@yahoo.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24770729

Citation

Meybodi, Ali Tayebi, et al. "Microvascular Decompression for Trigeminal Neuralgia Using the 'Stitched Sling Retraction' Technique in Recurrent Cases After Previous Microvascular Decompression." Acta Neurochirurgica, vol. 156, no. 6, 2014, pp. 1181-7; discussion 1187.
Meybodi AT, Habibi Z, Miri M, et al. Microvascular decompression for trigeminal neuralgia using the 'Stitched Sling Retraction' technique in recurrent cases after previous microvascular decompression. Acta Neurochir (Wien). 2014;156(6):1181-7; discussion 1187.
Meybodi, A. T., Habibi, Z., Miri, M., & Tabatabaie, S. A. (2014). Microvascular decompression for trigeminal neuralgia using the 'Stitched Sling Retraction' technique in recurrent cases after previous microvascular decompression. Acta Neurochirurgica, 156(6), 1181-7; discussion 1187. https://doi.org/10.1007/s00701-014-2092-y
Meybodi AT, et al. Microvascular Decompression for Trigeminal Neuralgia Using the 'Stitched Sling Retraction' Technique in Recurrent Cases After Previous Microvascular Decompression. Acta Neurochir (Wien). 2014;156(6):1181-7; discussion 1187. PubMed PMID: 24770729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Microvascular decompression for trigeminal neuralgia using the 'Stitched Sling Retraction' technique in recurrent cases after previous microvascular decompression. AU - Meybodi,Ali Tayebi, AU - Habibi,Zohreh, AU - Miri,Mojtaba, AU - Tabatabaie,Seyed Ali Fakhr, Y1 - 2014/04/27/ PY - 2013/11/12/received PY - 2014/03/31/accepted PY - 2014/4/29/entrez PY - 2014/4/29/pubmed PY - 2015/6/18/medline SP - 1181-7; discussion 1187 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 156 IS - 6 N2 - BACKGROUND: Microvascular decompression is a well-known therapeutic option for trigeminal neuralgia. It is considered safe and effective, and is the surgical treatment of choice for the malady. However, there is no standard technique for it and different authors have proposed different techniques of performing it. In this study, we observe the clinical results of the so-called 'stitched sling retraction' technique for recurrent cases of trigeminal neuralgia. METHODS: Twelve consecutive patients with recurrent trigeminal neuralgia after previous microvascular decompression(s) were admitted to our institution form February 2009 to February 2011 and underwent microvascular decompression of the trigeminal nerve using the 'stitched sling retraction' technique. In this technique, the offending loop of the superior cerebellar artery is retracted from the nerve and, using a silk thread loop around it, is suspended to the adjacent tentorium. RESULTS: All patients experienced pain resolution during the immediate post-operative period or within the first 6 months after surgery. They were followed for 24 to 38 months. No recurrence occurred. CONCLUSIONS: The 'stitched sling retraction' technique shows promising preliminary results in recurrent cases of trigeminal neuralgia after previous microvascular decompression(s). Since it is a 'transposing' technique, it might be associated with less recurrence rates (due to resuming of the neurovascular conflict) than the classic interposing technique, which uses a prosthesis between the offending vessel and the trigeminal nerve. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/24770729/Microvascular_decompression_for_trigeminal_neuralgia_using_the_'Stitched_Sling_Retraction'_technique_in_recurrent_cases_after_previous_microvascular_decompression_ DB - PRIME DP - Unbound Medicine ER -