Microvascular decompression for glossopharyngeal neuralgia: long-term follow up.

Microvascular decompression for glossopharyngeal neuralgia: long-term follow up.

World Neurosurg. 2017 Mar 02;:

Authors: Zhao H, Zhu J, Tang YD, Zhang X, Li ST

Abstract
OBJECTIVE: To examine operative findings and outcome of microvascular decompression (MVD) for glossopharyngeal neuralgia(GPN). This research displayed the long-term outcomes of a large series of 35 cases with GPN treated with MVD.
METHODS: From January 2004 to June 2006, 35 consecutive patients were diagnosed with GPN. All of them underwent MVD. Demographic data, clinical presentation, operative findings, clinical results, operative-complications were reviewed.
RESULTS: 33 (94.3%) of 35 cases experienced complete pain relief immediately after MVD. Long-term follow-up was available for 30 of these 35 patients, and 28 of these 30 patients continued to be pain-free. There was no long-term operative morbidity in all cases. 1 case suffered with CSF leak, 1 case presented with delayed facial palsy.
CONCLUSIONS: Classical GPN is usually caused by pulsatile neurovascular compression of the glossopharyngeal and vagus rootlets. MVD is a safe, effective and durable operative for GPN.

PMID: 28263933 [PubMed - as supplied by publisher]

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