雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Clinical Features of Bilateral Trigeminal Neuralgia Suguru YOKOSAKO 1 , Yuichi TAKAHASHI 1 , Asami KIKUCHI 1 , Chika YOSHIMURA 1 , Naoyuki ARAI 1 , Hidenori OHBUCHI 1 , Kengo HIROTA 1 , Shinji HAGIWARA 1 , Shigeru TANI 1 , Atsushi SASAHARA 1 , Hidetoshi KASUYA 1 1Department of Neurosurgery, Tokyo Women's Medical University Medical Center East Keyword: trigeminal neuralgia , microvascular decompression , bilateral , magnetic resonance imaging , neurovascular compression pp.127-132
Published Date 2015/2/10
DOI https://doi.org/10.11477/mf.1436202967
  • Abstract
  • Look Inside
  • Reference

 Among 238 patients with bilateral trigeminal neuralgia(TN)who visited our hospital between April 2007 and June 2014, 5(2%)were surgically treated by microvascular decompression(MVD). The initial symptom was on the right side in four and on both sides in one patient. Intervals between the initial and second onset on the other side(left)were two months, and four, six, and eight years. None of the patients showed involvement of the first branch of the trigeminal nerve. The patients with bilateral TN were younger than the 154 patients with unilateral TN who were treated surgically by MVD in this period(45 vs. 65 years), and the bilateral TN patients predominantly were women(4/5 vs. 99/154). In the surgical field, the trigeminal nerve and root entry zone were compressed more by veins in the bi lateral TN patients than in the unilateral TN(4/5 vs. 60/154, respectively)patients. We could not identify any differences in MRI CISS before versus after the onset of left trigeminal neuralgia, suggesting that compression is not the sole cause of the symptom.


Copyright © 2015, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有