Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Thu, Nov 28, 2024
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Volume 5, Issue 3 And , 4 (11-1991)
Med J Islam Repub Iran 1991 |
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TABATABAI A. THE PIVOTAL ROLE OF CRANIAL NERVER DECOMPRESSION. Med J Islam Repub Iran 1991; 5 (3) :85-89
URL: http://mjiri.iums.ac.ir/article-1-1611-en.html
URL: http://mjiri.iums.ac.ir/article-1-1611-en.html
From the Dept. of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Abstract: (3656 Views)
Reported are a total of 81 microsurgical operations for cranial nerve
root decompression comprising of 66 trigeminal, 10 facial, one vestibular,
one vagus and three accessory nerve dysfunction syndromes from 1983 to
1990.
Almost all cases of trigeminal neuralgia (TNG) secondary to vascular
(59 cases) and minute mass (10 cases) compression, and those with hemifacial
spasm (HFS) (nine out of 10 cases) recovered with microsurgical
decompression of these nerves. A comparison of results of different
treatment modalities of TNG are discussed. Some recently reported series in
the literature indicate the superiority of microvascular decompression
(MVD) of the 5th nerve for the treatment of TNG. MVD of the 7th nerve has
currently been accepted as a procedure of choice, albeit with reservations, in
managing HFS.
Despite our effective surgical outcome and satisfactory results obtained
by others with MVD of the 8th, 10th and 11th nerves, long-term follow up of
selected cases may further clarify the r9le of MVD on caudal cranial nerves.
Type of Study: Original Research |
Subject:
Neurosurgery
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