Microvascular decompression for trigeminal neuralgia in elderly patients
Although microvascular decompression (MVD) for patients with medically refractory trigeminal neuralgia (TN) is widely accepted as the treatment of choice, other "second-tier" treatments are frequently offered to elderly patients due to concerns regarding fitness for surgery. The authors so...
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| Veröffentlicht in: | Journal of neurosurgery 2008-04, Vol.108 (4), p.689-691 |
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| container_title | Journal of neurosurgery |
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| creator | SEKULA, Raymond F MARCHAN, Edward M FLETCHER, Lynn H CASEY, Kenneth F JANNETTA, Peter J |
| description | Although microvascular decompression (MVD) for patients with medically refractory trigeminal neuralgia (TN) is widely accepted as the treatment of choice, other "second-tier" treatments are frequently offered to elderly patients due to concerns regarding fitness for surgery. The authors sought to determine the safety and effectiveness of MVD for TN in patients older than 75 years of age.
The authors performed a retrospective review of medical records and conducted follow-up telephone interviews with the patients. The outcome data from 25 MVD operations for TN performed in 25 patients with a mean age of 79.4 years (range 75-88 years) were compared with those of a control group of 25 younger patients with a mean age of 42.3 years (range 17-50 years) who underwent MVDs during the same 30-month period from July 2000 to December 2003.
Initial pain relief was achieved in 96% of the patients in both groups (p = 1.0). There were no operative deaths in either group. After an average follow-up period of 44 and 52 months, 78 and 72% of patients in the elderly and control groups, respectively, remained pain free without medication (p = 0.74).
Microvascular decompression is an effective treatment for elderly patients with TN. The authors' experience suggests that the rate of complications and death after MVD for TN in elderly patients is no different from the rate in younger patients. |
| doi_str_mv | 10.3171/jns/2008/108/4/0689 |
| format | Article |
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The authors performed a retrospective review of medical records and conducted follow-up telephone interviews with the patients. The outcome data from 25 MVD operations for TN performed in 25 patients with a mean age of 79.4 years (range 75-88 years) were compared with those of a control group of 25 younger patients with a mean age of 42.3 years (range 17-50 years) who underwent MVDs during the same 30-month period from July 2000 to December 2003.
Initial pain relief was achieved in 96% of the patients in both groups (p = 1.0). There were no operative deaths in either group. After an average follow-up period of 44 and 52 months, 78 and 72% of patients in the elderly and control groups, respectively, remained pain free without medication (p = 0.74).
Microvascular decompression is an effective treatment for elderly patients with TN. The authors' experience suggests that the rate of complications and death after MVD for TN in elderly patients is no different from the rate in younger patients.</description><identifier>ISSN: 0022-3085</identifier><identifier>EISSN: 1933-0693</identifier><identifier>DOI: 10.3171/jns/2008/108/4/0689</identifier><identifier>PMID: 18377247</identifier><identifier>CODEN: JONSAC</identifier><language>eng</language><publisher>Park Ridge, IL: American Association of Neurological Surgeons</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Decompression, Surgical - adverse effects ; Decompression, Surgical - methods ; Follow-Up Studies ; Humans ; Medical sciences ; Middle Aged ; Neurosurgery ; Pain - etiology ; Pain - surgery ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome ; Trigeminal Neuralgia - complications ; Trigeminal Neuralgia - surgery</subject><ispartof>Journal of neurosurgery, 2008-04, Vol.108 (4), p.689-691</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-34d55c75cc734c0bf944154995170be6d884c720b4a6725eaad70855feb3590c3</citedby><cites>FETCH-LOGICAL-c399t-34d55c75cc734c0bf944154995170be6d884c720b4a6725eaad70855feb3590c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20209999$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18377247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SEKULA, Raymond F</creatorcontrib><creatorcontrib>MARCHAN, Edward M</creatorcontrib><creatorcontrib>FLETCHER, Lynn H</creatorcontrib><creatorcontrib>CASEY, Kenneth F</creatorcontrib><creatorcontrib>JANNETTA, Peter J</creatorcontrib><title>Microvascular decompression for trigeminal neuralgia in elderly patients</title><title>Journal of neurosurgery</title><addtitle>J Neurosurg</addtitle><description>Although microvascular decompression (MVD) for patients with medically refractory trigeminal neuralgia (TN) is widely accepted as the treatment of choice, other "second-tier" treatments are frequently offered to elderly patients due to concerns regarding fitness for surgery. The authors sought to determine the safety and effectiveness of MVD for TN in patients older than 75 years of age.
The authors performed a retrospective review of medical records and conducted follow-up telephone interviews with the patients. The outcome data from 25 MVD operations for TN performed in 25 patients with a mean age of 79.4 years (range 75-88 years) were compared with those of a control group of 25 younger patients with a mean age of 42.3 years (range 17-50 years) who underwent MVDs during the same 30-month period from July 2000 to December 2003.
Initial pain relief was achieved in 96% of the patients in both groups (p = 1.0). There were no operative deaths in either group. After an average follow-up period of 44 and 52 months, 78 and 72% of patients in the elderly and control groups, respectively, remained pain free without medication (p = 0.74).
Microvascular decompression is an effective treatment for elderly patients with TN. The authors' experience suggests that the rate of complications and death after MVD for TN in elderly patients is no different from the rate in younger patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Decompression, Surgical - adverse effects</subject><subject>Decompression, Surgical - methods</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Pain - etiology</subject><subject>Pain - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Trigeminal Neuralgia - complications</subject><subject>Trigeminal Neuralgia - surgery</subject><issn>0022-3085</issn><issn>1933-0693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkN9LwzAQx4Mobk7_AkH6om91l19N8yhDnTL1QX0OaZqOjLSdSSvsvzfDoQfHwfG5g-8HoUsMtxQLPN90cU4AyjlOzeZQlPIITbGkNIdC0mM0BSAkp1DyCTqLcQOAC1aQUzTBJRWCMDFFyxdnQv-toxm9DlltTd9ug43R9V3W9CEbglvb1nXaZ50dg_ZrpzPXZdbXNvhdttWDs90Qz9FJo320F4c5Q58P9x-LZb56e3xa3K1yQ6Uccspqzo3gxgjKDFSNZAxzJiXHAipb1GXJjCBQMV0Iwq3WtUgBeGMryiUYOkM3v3-3of8abRxU66Kx3uvO9mNUAhgTmNEE0l8w5Ysx2EZtg2t12CkMai9QPb--q73AtCgVU3uB6erq8H6sWlv_3xyMJeD6ACRn2jdBd8bFP44AAZmK_gBZxXmo</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>SEKULA, Raymond F</creator><creator>MARCHAN, Edward M</creator><creator>FLETCHER, Lynn H</creator><creator>CASEY, Kenneth F</creator><creator>JANNETTA, Peter J</creator><general>American Association of Neurological Surgeons</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080401</creationdate><title>Microvascular decompression for trigeminal neuralgia in elderly patients</title><author>SEKULA, Raymond F ; MARCHAN, Edward M ; FLETCHER, Lynn H ; CASEY, Kenneth F ; JANNETTA, Peter J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-34d55c75cc734c0bf944154995170be6d884c720b4a6725eaad70855feb3590c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Decompression, Surgical - adverse effects</topic><topic>Decompression, Surgical - methods</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Pain - etiology</topic><topic>Pain - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Trigeminal Neuralgia - complications</topic><topic>Trigeminal Neuralgia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SEKULA, Raymond F</creatorcontrib><creatorcontrib>MARCHAN, Edward M</creatorcontrib><creatorcontrib>FLETCHER, Lynn H</creatorcontrib><creatorcontrib>CASEY, Kenneth F</creatorcontrib><creatorcontrib>JANNETTA, Peter J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SEKULA, Raymond F</au><au>MARCHAN, Edward M</au><au>FLETCHER, Lynn H</au><au>CASEY, Kenneth F</au><au>JANNETTA, Peter J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microvascular decompression for trigeminal neuralgia in elderly patients</atitle><jtitle>Journal of neurosurgery</jtitle><addtitle>J Neurosurg</addtitle><date>2008-04-01</date><risdate>2008</risdate><volume>108</volume><issue>4</issue><spage>689</spage><epage>691</epage><pages>689-691</pages><issn>0022-3085</issn><eissn>1933-0693</eissn><coden>JONSAC</coden><abstract>Although microvascular decompression (MVD) for patients with medically refractory trigeminal neuralgia (TN) is widely accepted as the treatment of choice, other "second-tier" treatments are frequently offered to elderly patients due to concerns regarding fitness for surgery. The authors sought to determine the safety and effectiveness of MVD for TN in patients older than 75 years of age.
The authors performed a retrospective review of medical records and conducted follow-up telephone interviews with the patients. The outcome data from 25 MVD operations for TN performed in 25 patients with a mean age of 79.4 years (range 75-88 years) were compared with those of a control group of 25 younger patients with a mean age of 42.3 years (range 17-50 years) who underwent MVDs during the same 30-month period from July 2000 to December 2003.
Initial pain relief was achieved in 96% of the patients in both groups (p = 1.0). There were no operative deaths in either group. After an average follow-up period of 44 and 52 months, 78 and 72% of patients in the elderly and control groups, respectively, remained pain free without medication (p = 0.74).
Microvascular decompression is an effective treatment for elderly patients with TN. The authors' experience suggests that the rate of complications and death after MVD for TN in elderly patients is no different from the rate in younger patients.</abstract><cop>Park Ridge, IL</cop><pub>American Association of Neurological Surgeons</pub><pmid>18377247</pmid><doi>10.3171/jns/2008/108/4/0689</doi><tpages>3</tpages></addata></record> |
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| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Decompression, Surgical - adverse effects Decompression, Surgical - methods Follow-Up Studies Humans Medical sciences Middle Aged Neurosurgery Pain - etiology Pain - surgery Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Trigeminal Neuralgia - complications Trigeminal Neuralgia - surgery |
| title | Microvascular decompression for trigeminal neuralgia in elderly patients |
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