We retrospectively analyse and review the results of microvascular decompression performed for trigeminal neuralgia. We also discuss the surgical nuances, complication avoidance and compare our results with other reported studies. This is a retrospective study in which the data of eighty-four patients who underwent microvascular decompression for trigeminal neuralgia in the last ten years from 2013 till May 2023 at our institute (Neuron hospital and SSG Hospital, Vadodara, India) was reviewed. The preoperative pain characteristics, radiology reports and the degree and duration of post-operative pain relief and neurologic outcome was assessed. MRI was done preoperatively in all the cases to rule out a secondary cause for trigeminal neuralgia. All the cases of secondary trigeminal neuralgia were excluded from the study. A favourable outcome was defined as a post-operative Barrow Neurological Institute pain intensity score of 1. Eighty patients had excellent immediate postoperative pain relief without any need for medications. None of these patients have developed any recurrence of pain till date. Four operated patients did not experience any pain relief after surgery. Microvascular decompression for trigeminal neuralgia is a safe and effective procedure which treats the root cause of the disease and hence provides good long term pain relief.

中文翻译：

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微血管减压术治疗三叉神经痛84例手术体会

我们回顾性分析和回顾了微血管减压术治疗三叉神经痛的结果。我们还讨论了手术的细微差别、并发症的避免，并将我们的结果与其他报道的研究进行比较。这是一项回顾性研究，回顾了从 2013 年到 2023 年 5 月在我们研究所（印度巴罗达的 Neuron 医院和 SSG 医院）过去 10 年间因三叉神经痛接受微血管减压术的 84 名患者的数据。评估术前疼痛特征、放射学报告以及术后疼痛缓解的程度和持续时间以及神经系统结果。所有病例均在术前进行了 MRI 检查，以排除三叉神经痛的次要原因。所有继发性三叉神经痛病例均被排除在研究之外。良好的结果被定义为术后巴罗神经病学研究所疼痛强度评分为 1。80 名患者术后立即疼痛缓解良好，无需任何药物。到目前为止，这些患者都没有出现任何疼痛复发。四名接受手术的患者术后疼痛没有任何缓解。三叉神经痛的微血管减压术是一种安全有效的手术，可以治疗疾病的根本原因，从而提供良好的长期疼痛缓解。