Endoscopy and Fetoscopy Techniques for the Brain and Neuroaxis

Trigeminal Tractotomies and Nucleotomies

Author(s):

Pp: 27-36 (10)

DOI: 10.2174/9789815274493124020004

* (Excluding Mailing and Handling)

Abstract

Microendoscopic trigeminal nucleotractotomy (MENT) is a minimally invasive surgical procedure used to treat trigeminal neuralgia (TN). In this chapter, the authors describe the clinical outcomes associated with MENT regarding pain relief and functional improvement. Our novel technique resulted in a significant reduction in pain scores following MENT, as indicated by a decrease in the Visual Analog Scale (VAS) scores. Additionally, a substantial proportion of patients reported functional improvement, including enhanced ability to perform daily activities. The success of MENT is influenced by factors such as patient selection, surgical technique, and underlying causes of TN. Although the study provides short-term follow-up and feasibility data, further research with longer-term evaluations is necessary to assess the durability of pain relief achieved through MENT.

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