Article
Clinical Neurology
Collin B. Kilgore, Raymond J. So, Kaitlyn Storm, Sumil K. Nair, Kathleen R. Ran, Anita L. Kalluri, Michael Lim, Judy Huang, Chetan Bettegowda, Risheng Xu
Summary: Trigeminal neuralgia is more prevalent in women, and microvascular decompression is the most effective surgical treatment for it. This study aims to investigate the relationship between sex and pain outcomes following microvascular decompression for trigeminal neuralgia.
WORLD NEUROSURGERY
(2023)
Article
Medicine, Research & Experimental
Hongliang Wang, Sai Li, Zhiwei Wang, Dejun Wu, Zhifei Guo, Bing Zhao, Jinghai Wan
Summary: This study developed a novel practical assessment system to predict the likelihood of pain recurrence following MVD in TN patients based on preoperative clinical and imaging factors. The online dynamic nomogram showed good accuracy and clinical applicability in predicting pain recurrence after MVD in TN patients.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2023)
Article
Surgery
Mustaqim Prasetya, Peter Adidharma, Takuro Inoue, Adi Sulistyanto, Fadhil, Selfy Oswari, Ryan Rhiveldi Keswani, Muhammad Kusdiansah, Yunus Kuntawi Aji, Abrar Arham
Summary: Trigeminal Neuralgia is usually triggered by stimuli in the area of the trigeminal nerve innervation. However, we reported an exceptional case of a 61-year-old woman who experienced recurrent trigeminal neuralgia solely triggered by seeing a bright light. The Teflon felt placed on the nerve root during the initial surgery was suspected to be the cause of this rare type of pain.
FRONTIERS IN SURGERY
(2022)
Article
Clinical Neurology
Tobias Greve, Joerg-Christian Tonn, Jan-Hinnerk Mehrkens
Summary: Despite a higher prevalence of comorbidities in elderly patients, complication rates and neurological deficits after MVD were comparable to younger patients. Rates of immediate and long-term pain relief compared favorably to previous studies and were similar between elderly and younger patients.
JOURNAL OF NEUROLOGY
(2021)
Article
Clinical Neurology
Byung-chul Son, Chang-ik Lee, Jin-gyu Choi
Summary: External neurolysis can be an effective treatment for idiopathic trigeminal neuralgia with no confirmed neurovascular compression on MRI. The surgery successfully relieved pain and had no recurrence or side effects during the follow-up period. Individual variation of arachnoid membranes may play a role in the development of idiopathic TN.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Zhen Zhao, SongShan Chai, JiaJing Wang, XiaoBing Jiang, ChuanSheng Nie, HongYang Zhao
Summary: This retrospective study compared the treatment outcomes of microvascular decompression (MVD) and Gamma Knife radiosurgery (GKRS) for patients with vertebrobasilar dolichoectasia-related trigeminal neuralgia (VBD-TN). The results showed that MVD was more effective in achieving and maintaining favorable outcomes for VBD-TN patients compared to GKRS, although MVD also had a higher rate of complications other than facial numbness. Therefore, treatment plans should be tailored to individual patient conditions and preferences.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Raymond J. J. So, Anita L. L. Kalluri, Stanley Zhu, Joshua Materi, Sumil K. K. Nair, Michael Lim, Judy Huang, Chetan Bettegowda, Risheng Xu
Summary: The presence of multiple compressive vessels in trigeminal neuralgia (TN) patients is associated with higher pain scores preoperatively and an increased risk for pain recurrence after microvascular decompression (MVD), compared to patients with a single compressive vessel.
Article
Clinical Neurology
Richard Loayza, Johan Wikstrom, Anna Grabowska, Robert Semnic, Hans Ericson, Sami Abu Hamdeh
Summary: This study aimed to investigate the outcome after microvascular decompression (MVD) surgery in trigeminal neuralgia (TN) patients and whether it is affected by neurovascular conflict (NVC) severity and sex. The results showed that the success rate of MVD was 80% in TN patients with severe NVC, and 56% in TN patients with mild NVC. No significant sex difference was observed in the outcome.
ACTA NEUROCHIRURGICA
(2023)
Article
Clinical Neurology
Risheng Xu, Sumil K. Nair, Joshua Materi, Divyaansh Raj, Giho Park, Ravi Medikonda, Safwan Alomari, Timothy Kim, Yuanxuan Xia, Judy Huang, Michael Lim, Chetan Bettegowda
Summary: Microvascular decompression (MVD) is an effective surgical intervention for severe facial pain, and discharging carefully selected patients within 1 day post-operation can lead to cost savings without compromising patient outcomes.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Risheng Xu, Sumil K. Nair, Joshua Materi, Divyaansh Raj, Giho Park, Ravi Medikonda, Safwan Alomari, Timothy Kim, Yuanxuan Xia, Judy Huang, Michael Lim, Chetan Bettegowda
Summary: This study examined the safety and cost-benefits of discharging patients with microvascular decompression (MVD) within 1 day of admission for severe facial pain. The results showed that discharging carefully selected patients within 1 day of admission was safe and resulted in reduced hospital admissions, complications, and total hospital costs.
WORLD NEUROSURGERY
(2022)
Article
Neurosciences
Grazia Menna, Alessandro Rapisarda, Alessandro Izzo, Manuela D'Ercole, Quintino Giorgio D'Alessandris, Alessandro Olivi, Nicola Montano
Summary: Microvascular decompression (MVD) is a safe and effective surgical procedure for elderly patients with trigeminal neuralgia (TN), with no significant differences in surgical outcomes compared to non-elderly patients.
Review
Clinical Neurology
Liwu Jiao, Hao Ye, Jibo Lv, Yong Xie, Wei Sun, Guolin Ding, Simin Cui
Summary: This study analyzed literature regarding the feasibility of repeat MVD for recurrent or persistent trigeminal neuralgia. It found that the effective rate of repeat MVD was 91.66% with a postoperative complication rate of 37.31%, mainly related to postoperative adhesions around the nerve and nerve injury caused by partial sensory rhizotomy.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
James Mooney, Nicholas Erickson, Adeel Ilyas, Ethan Tabibian, Barton L. Guthrie
Summary: The majority of North American neurosurgeons prioritize clinical symptomatic presentation over imaging evidence of neurovascular compression when deciding to perform microvascular decompression for trigeminal neuralgia. High-volume surgeons tend to consider imaging findings of vascular compression more heavily in their decision-making process compared to low-volume surgeons.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Zhaoli Shen, Feng Yu, Fei Xue, Yuhai Wang, Sze Chai Kwok, Jia Yin
Summary: This study retrospectively analyzed the rates and patterns of intraneural offending vessels in patients with TGN undergoing MVD and discussed the corresponding management strategies. The results showed that intraneural offending vessels requiring treatment are uncommon in patients undergoing MVD for TGN. Decompression by shredded Teflon wrapping interposition is recommended for intraneural offending arteries. The management of intraneural offending veins depends on individual situations.
Article
Clinical Neurology
Imran Noorani, Amanda Lodge, Andrew Durnford, Girish Vajramani, Owen Sparrow
Summary: The study found that MVD provides better initial pain relief and longer durability of relief compared to percutaneous surgery. Balloon compression offers the most durable pain relief among percutaneous procedures. Post-operative numbness and age are predictors of good outcome for percutaneous surgery.
ACTA NEUROCHIRURGICA
(2021)
Article
Clinical Neurology
Stephen T. Magill, Seunggu J. Han, Jing Li, Mitchel S. Berger
JOURNAL OF NEUROSURGERY
(2018)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Javier E. Villanueva-Meyer, Stephen T. Magill, Julieann C. Lee, Sarah E. Umetsu, Robert R. Flavell
CLINICAL NUCLEAR MEDICINE
(2018)
Article
Oncology
William C. Chen, Jared Hara, Stephen T. Magill, Ashley Wu, Manish K. Aghi, Philip V. Theodosopoulos, Arie Perry, Michael W. McDermott, Penny K. Sneed, David R. Raleigh, Steve E. Braunstein
JOURNAL OF NEURO-ONCOLOGY
(2018)
Article
Clinical Neurology
William C. Chen, Stephen T. Magill, Ashley Wu, Harish N. Vasudevan, Olivier Morin, Manish K. Aghi, Philip V. Theodosopoulos, Arie Perry, Michael W. McDermott, Penny K. Sneed, Steve E. Braunstein, David R. Raleigh
JOURNAL OF NEUROSURGERY
(2019)
Article
Clinical Neurology
Stephen T. Magill, Jacob S. Young, Ricky Chae, Manish K. Aghi, Philip V. Theodosopoulos, Michael W. McDermott
NEUROSURGICAL FOCUS
(2018)
Article
Clinical Neurology
Stephen T. Magill, Ramin A. Morshed, Calixto-Hope G. Lucas, Manish K. Aghi, Philip V. Theodosopoulos, Mitchel S. Berger, Oreste de Divitiis, Domenico Solari, Paolo Cappabianca, Luigi M. Cavallo, Michael W. McDermott
NEUROSURGICAL FOCUS
(2018)
Article
Clinical Neurology
Stephen T. Magill, Jonathan W. Rick, William C. Chen, David A. Haase, David R. Raleigh, Manish K. Aghi, Philip V. Theodosopoulos, Michael W. McDermott
WORLD NEUROSURGERY
(2018)
Article
Clinical Neurology
Ashley Wu, Michael A. Garcia, Stephen T. Magill, William Chen, Harish N. Vasudevan, Arie Perry, Philip V. Theodosopoulos, Michael W. McDermott, Steve E. Braunstein, David R. Raleigh
WORLD NEUROSURGERY
(2018)
Article
Clinical Neurology
Cecilia L. Dalle Ore, Christopher P. Ames, Stephen T. Magill, Vedat Deviren, Manish K. Aghi, Darryl Lau
WORLD NEUROSURGERY
(2018)
Article
Cell Biology
Harish N. Vasudevan, Steve E. Braunstein, Joanna J. Phillips, Melike Pekmezci, Bryan A. Tomlin, Ashley Wu, Gerald F. Reis, Stephen T. Magill, Jie Zhang, Felix Y. Feng, Theodore Nicholaides, Susan M. Chang, Penny K. Sneed, Michael W. McDermott, Mitchel S. Berger, Arie Perry, David R. Raleigh
Article
Clinical Neurology
Stephen T. Magill, Maryam N. Shahin, Calixto-Hope G. Lucas, Adam J. Yen, David S. Lee, David R. Raleigh, Manish K. Aghi, Philip V. Theodosopoulos, Michael W. McDermott
JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE
(2019)
Article
Multidisciplinary Sciences
Efstathios D. Gennatas, Ashley Wu, Steve E. Braunstein, Olivier Morin, William C. Chen, Stephen T. Magill, Chetna Gopinath, Javier E. Villaneueva-Meyer, Arie Perry, Michael W. McDermott, Timothy D. Solberg, Gilmer Valdes, David R. Raleigh
Article
Oncology
Maryam N. Shahin, Stephen T. Magill, Cecilia L. Dalle Ore, Jennifer A. Viner, Pamela N. Peters, David A. Solomon, Michael W. McDermott
JOURNAL OF NEURO-ONCOLOGY
(2019)
Article
Clinical Neurology
Claire M. Faltermeier, Stephen T. Magill, Lewis S. Blevins, Manish K. Aghi
NEUROSURGERY CLINICS OF NORTH AMERICA
(2019)
Article
Clinical Neurology
Stephen T. Magill, Cecilia L. Dalle Ore, Michael A. Diaz, Daara D. Jalili, David R. Raleigh, Manish K. Aghi, Philip Theodosopoulos, Michael W. McDermott
JOURNAL OF NEUROSURGERY
(2019)