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Douleur et Analgésie

, Volume 1, Issue 1, pp 47–53 | Cite as

Stratégies thérapeutiques dans les névralgies du trijumeau

  • M. Sindou
  • Y. Keravel
  • I. Pelissou
Article
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Résumé

Le traitement des névralgies trigéminales rebelles aux thérapeutiques médicamenteuses a bénéficié au cours des quinze dernières années de la mise au point de plusieurs techniques chirurgicales, principalement la thermocoagulation du trijumeau et la décompression vasculaire microchirurgicale dans l’angle pontocérébelleux.

A partir de leur expérience personnelle (609 thermocoagulations, 150 abords microchirurgicaux de l’angle ponto-cérébelleux, avec un recul de plus de 2 ans—15 ans pour les plus anciens), ainsi que d’une revue de certaines grandes séries de la littérature, les auteurs présentent les avantages et les inconvénients de chacune de ces techniques récentes.

Summary

Medical and neurosurgical treatments of trigeminal neuralgia.

During the fifteen past years, the treatment of trigeminal neuralgia resistant to medical therapy has benefited from several neurosurgical techniques, mainly percutaneous thermocoagulation and microvascular decompression in the cerebello-pontine angle. The respective advantages and disadvantages of these techniques are presented, both from the authors’ experience (609 thermocoagulations, 150 direct approaches in the cerebello-pontine angle, with a follow-up of at least two years—15 years for the oldest cases) and a review of some important series of the literature.

Key words

Trigeminal neuralgia trigeminal thermocoagulation glycerol injection of the gasserian ganglion balloon compression of the gasserian ganglion microvascular decompression of the trigeminal nerve trigeminal rhizotomy 

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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • M. Sindou
    • 1
  • Y. Keravel
    • 2
  • I. Pelissou
    • 1
  1. 1.Hôpital neurologiqueLyonFrance
  2. 2.Hôpital Henri MondorCréteil

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