Long-term outcomes of microvascular decompression for trigeminal neuralgia in multiple sclerosis: a systematic review and meta-analysis
MVD is less effective in TN-MS patients than in those with classic TN, with approximately 30% achieving long-term pain-free outcomes. However, MVD may still offer meaningful relief, particularly in patients with neurovascular compression. Given these findings, MVD should not be categorically excluded as a treatment option for TN-MS. Further prospective studies are needed to refine patient selection and optimize outcomes.
Authors
- Abdulrahman Albakr (ORCID: https://orcid.org/0000-0003-0390-7292)
- Hediye Gholamshahi (ORCID: https://orcid.org/0000-0002-3355-9121)
- Hakim S. Sultan Aljibori (ORCID: https://orcid.org/0000-0002-5815-8148)
- Mohammadmahdi Sabahi (ORCID: https://orcid.org/0000-0003-4640-226X)
- Badih Adada (ORCID: https://orcid.org/0000-0002-2432-6924)
- Hamid Borghei‐Razavi (ORCID: https://orcid.org/0000-0001-6907-5105)
Institutions
- King Saud University (SA)
- Cleveland Clinic Lerner College of Medicine (US)
- Cleveland Clinic Florida (US)
- University School (US)
- Neurological Surgery (US)
- Case Western Reserve University (US)
- Florida Atlantic University (US)
- Tehran University of Medical Sciences (IR)
Publication Details
- Journal
- Journal of neurosurgery
- Published
- 2025-12-01
- DOI
- https://doi.org/10.3171/2025.7.jns243258
- Primary Topic
- Trigeminal Neuralgia and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00