Author:
Hao Yun-bo,Zhang Wei-jie,Chen Min-jie,Chai Ying,Zhang Wen-hao,Wei Wen-bin
Abstract
Abstract
Purpose
Neurovascular compression (NVC) is hypothesized to be the main pathogenic factor of trigeminal neuralgia (TN). Microvascular decompression (MVD) has become a popular surgery for TN, and the success rate depends on the degree of NVC. As the routine examination before MVD, magnetic resonance tomographic angiography (MRTA) shows high sensitivity for detecting NVC. However, there are no reports on the sensitivity of MRTA for assessing the degree of NVC.
Methods
This study aimed to evaluate the sensitivity of MRTA for determining the degree of NVC by comparing preoperative MRTA and intraoperative endoscopy findings. A total of 480 patients who suffered from TN and underwent MVD were included. Their preoperative MRTA and intraoperative endoscopy findings were reviewed. The kappa test was used to identify similarities between the MRTA and endoscopy findings.
Results
The degree of NVC on preoperative MRTA was similar to that on endoscopy (kappa = 0.770). The number of offending vessels according to preoperative MRTA was coincident with that according to endoscopy (kappa = 0.722).
Conclusion
MRTA had high sensitivity for detecting not only the presence of NVC but also the degree of NVC.
Funder
Clinical research MDT project of Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University
Key biological and pharmaceutical projects of Shanghai Science and Technology Commission
Science and Technology Planning Project of Shenzhen Municipality
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Clinical Neurology,Dermatology,General Medicine
Cited by
9 articles.
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