ArticleFrontiers in neurology2025
Comparison of endoscopic and microscopic microvascular decompression for treating primary trigeminal neuralgia.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To compare the intraoperative outcome and postoperative efficacy of endoscopic and microscopic microvascular decompression (MVD) under neuroelectrophysiological monitoring in the treatment of primary trigeminal neuralgia (PTN). Methods: This retrospective study included 131 patients with PTN who were admitted to our hospital between January 2019 and October 2022. The patients were categorized according to the treatment received into the endoscopic group ( Results: There were differences in incision length and bone flap diameter between the two groups ( Conclusion: Endoscopic and microscopic MVD are effective for PTN and have comparable outcomes. Endoscopy enhances visualization and identification of offending vessels; moreover, compared with microscopy, endoscopy is more minimally invasive and suitable for detecting and fully separating potentially hidden offending vessels; however, its technical complexity necessitates individualized treatment based on patient needs and institutional expertise.
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