삼차신경통과 반측 안면 경련에 대한 미세혈관 감압술의 단기성적 = The Short-term Result of Micro-Vascular Decompression in Trigeminal Neuralgia and Hemifacial Spasm

다국어 초록 (Multilingual Abstract)

The result of microvascular decompression (MVD) in 105 consecutive cases is presented. The symptomatic vasculoneural compressions including tumor, vascular malformation, or aneurysm are excluded in this study group. The 41 patients with trigeminal neuralgia (TN) were all treated by posterior fossa exploration (PFE). Eighteen of them were treated with MVD only, another 14 with partial sensory rhizotomy (PSR) only, and in the other 9 patients, MVD and PSR were performed together. Sixty-two of 64 hemifacial spasm (HFS) cases were treated succesfully with MVD via PFE. However in one case of which the offending vessel was not identified, neurolysis was camed out. The other case who had both TN and HFS, died due to intraoperative cardiac arrest
The result of operation was evaluated at one month after the operation. In TN, among thirty-nine (98%) patients who resulted in pain-improvement, 32 (82%) experienced complete resohition of the pain.,The rate of complete pain-relief was higher in the 'MVD only group' than in 'group with PSR': Amomg 62 (94%) cases of HFS, 29 (47%) patients obtained 'complete cure' and 'improvement-only' respectively only 4 (6%) patients had no change of the spasm. The preoperative clinical characteristics, intraoperative surgical fingdings and postoperative outcomes were itemized and analyzed to find out the prognostic factors. The our results are compared with others in the literature.