Outcome of Microvascular Decompression Surgery in Trigeminal Neuralgia: A Single-Center 10-year Experience

Objective: Trigeminal neuralgia is an excruciating pain in one or more of the fifth cranial nerve's branches.Our goal in this study was to report the surgical results of microvascular decompression for trigeminal neuralgia at a single center. Methods:In our center, we retrospectively analyzed 35 patients who operated with microvascular decompression for trigeminal neuralgia between 2013-2023.The patients had a minimum of 2 years of follow-up.Results: Twenty-four patients had right-sided, and 11 had left-sided trigeminal neuralgia.Sixteen of them were female, and 19 of them were male.The age interval was between 27-78 years old.The median age of patients was 57 years.Twenty-nine patients reported complete resolution of trigeminal neuralgia after microvascular decompression who did not have previous interventional pain treatment history.These patients did not have any persistent complications. Conclusion:Microvascular decompression for trigeminal neuralgia is a safe and effective treatment modality.Patients with trigeminal neuralgia that are resistant to medical therapy are ideal candidates for microvascular decompression surgery.