Outcomes of microvascular decompression for trigeminal neuralgia: a retrospective analysis from a Mexican high-specialty center

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AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-10-05T16:33:31Z
Fecha de publicación2026-01-01
ResumenBackground Trigeminal neuralgia (TN) is a severe craniofacial pain disorder that significantly impacts patient quality of life. Microvascular decompression (MVD) is the sole surgical technique directly addressing the underlying neurovascular conflict, offering durable pain relief. However, data from Latin American populations remain limited. Objective To evaluate pain improvement, recurrence, and complications in patients with classic TN undergoing MVD at a Mexican high-specialty center. Methods We retrospectively analyzed 61 consecutive classic TN patients who underwent MVD (2010-2023). Their clinical records provided demographic data, pain characteristics, Barrow Neurological Institute Pain Scale (BNI-PS) scores, intraoperative findings, and long-term outcomes. The statistical analyses were performed through the McNemar and Cochran Q tests for longitudinal changes. Results The cohort was predominantly composed of women (80.3\%; median age: 59 years). Preoperatively, most reported severe pain (BNI-PS score: IV-V). After MVD, 57.4\% achieved complete pain relief (BNI-PS score: I) and 13.1\% had occasional pain not requiring medication (BNI-PS score: II) at the long-term follow-up. Neurovascular compression was identified in 96.7\% of the cases, most frequently by the superior cerebellar artery (49.2\%). The overall recurrence rate was of 14.8\%, with 8.2\% requiring reoperation. Early complications included transient cerebellar syndrome (8.2\%) and facial hypoesthesia (11.5\%); 1 case of mortality occurred due to hypertensive hemorrhage. Conclusion Microvascular decompression is a safe, effective, and durable treatment for classic TN, achieving long-term pain relief in more than 70\% of the patients. The present study offers valuable clinical data from a Mexican cohort, reinforcing the efficacy and reproducibility of the procedure in diverse neurosurgical settings.es_ES
Doihttps://doi.org/10.1055/s-0046-18170es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/5306
Idiomaenes_ES
EditorialASSOC ARQUIVOS NEURO- PSIQUIATRIAes_ES
RelaciónArquivos de Neuro-Psiquiatriaes_ES
URL relacionadohttps://doi.org/10.1055/s-0046-18170es_ES
DerechosAcceso restringido / Suscripción (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_16eces_ES
FuenteArquivos de Neuro-Psiquiatria
Palabra claveTrigeminal Neuralgiaes_ES
Palabra claveMicrovascular Decompression Surgeryes_ES
Palabra claveTreatment Outcomees_ES
Palabra claveNerve Compression Syndromeses_ES
Palabra clavePain Measurementes_ES
TítuloOutcomes of microvascular decompression for trigeminal neuralgia: a retrospective analysis from a Mexican high-specialty centeres_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorGonzalez-Gonzalez, Ivan Eduardo
AutorMoral-Naranjo, Andres Alberto
AutorLopez-Valdes, Julio Cesar
AutorMedina-Carrillo, Oscar
AutorVega-Moreno, Daniel Alejandro
AutorMadrid-Sanchez, Alejandro Jacob
AutorPortillo-Gonzalez, Alexis Manuel
AutorGarcia-Gonzalez, Ulises
AutorGonzalez-Gonzalez, Ivan Eduardoes_ES
AutorMoral-Naranjo, Andres Albertoes_ES
AutorLopez-Valdes, Julio Cesares_ES
AutorMedina-Carrillo, Oscares_ES
AutorVega-Moreno, Daniel Alejandroes_ES
AutorMadrid-Sanchez, Alejandro Jacobes_ES
AutorPortillo-Gonzalez, Alexis Manueles_ES
AutorGarcia-Gonzalez, Uliseses_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Número2es_ES
URL relacionadahttps://doi.org/10.1055/s-0046-18170
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen84es_ES

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