{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:47:36Z","timestamp":1792176456282,"version":"4.4.0"},"reference-count":44,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T00:00:00Z","timestamp":1528848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Patient Organisation Trigeminus Foreningen"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is a lack of high-quality prospective, systematic studies using independent assessors of outcome of microvascular decompression as treatment for trigeminal neuralgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Clinical characteristics and outcome data were recorded prospectively from consecutive classical trigeminal neuralgia patients, using standardized interviews. Degree of neurovascular contact was evaluated by a 3.0 Tesla MRI blinded to symptomatic side. Patients were assessed before and 12 months after surgery by a neurologist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-six men and 33 women completed 12 months follow-up. Forty-one patients (69%) had an excellent outcome (no pain, no medication). Ten (18%) patients had a good outcome. Eight (12%) patients had no improvement or had worsening of pain. MRI showed neurovascular contact with morphological changes in 34 patients (58%). Odds ratio between neurovascular contact with morphological changes and excellent outcome was 4.4 (Cl 1.16\u201316.26), p\u2009=\u20090.029. Odds ratio between male sex and excellent outcome was 11.38 (Cl 2.12\u201359.52), p\u2009=\u20090.004. No significant association was found between excellent outcome and concomitant persistent pain, current age or disease duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Neurovascular contact with morphological changes and male sex are positive predictive factors for outcome of microvascular decompression. The findings enable clinicians to better inform patients before surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102418783294","type":"journal-article","created":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T06:23:35Z","timestamp":1528871015000},"page":"197-208","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["Prognostic factors for outcome of microvascular decompression in trigeminal neuralgia: A prospective systematic study using independent assessors"],"prefix":"10.1177","volume":"39","author":[{"given":"Tone Bruvik","family":"Heinskou","sequence":"first","affiliation":[{"name":"Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Rochat","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rigshospitalet Blegdamsvej, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stine","family":"Maarbjerg","sequence":"additional","affiliation":[{"name":"Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frauke","family":"Wolfram","sequence":"additional","affiliation":[{"name":"Department of Diagnostics, Rigshospitalet Glostrup, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jannick","family":"Brennum","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rigshospitalet Blegdamsvej, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes","family":"Olesen","sequence":"additional","affiliation":[{"name":"Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Bendtsen","sequence":"additional","affiliation":[{"name":"Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, University of Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,13]]},"reference":[{"key":"bibr1-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2008.02185.x"},{"key":"bibr2-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416687280"},{"key":"bibr3-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2014.04.020"},{"key":"bibr4-0333102418783294","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1980.52.3.0381"},{"key":"bibr5-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200201000-00002"},{"key":"bibr6-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/124.12.2347"},{"key":"bibr7-0333102418783294","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.90.1.0001"},{"key":"bibr8-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.6.1641"},{"key":"bibr9-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(84)90005-3"},{"key":"bibr10-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-017-3250-9"},{"key":"bibr11-0333102418783294","doi-asserted-by":"publisher","DOI":"10.3109\/02688690903370289"},{"key":"bibr12-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199604253341701"},{"key":"bibr13-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2012.01.040"},{"key":"bibr14-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1111\/head.12441"},{"key":"bibr15-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198512000-00009"},{"key":"bibr16-0333102418783294","doi-asserted-by":"publisher","DOI":"10.3171\/2016.9.JNS16149"},{"key":"bibr17-0333102418783294","author":"Bick SK","journal-title":"Neurosurgery"},{"key":"bibr18-0333102418783294","doi-asserted-by":"publisher","DOI":"10.3171\/2014.2.JNS131288"},{"key":"bibr19-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000335075.16858.EF"},{"key":"bibr20-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007312.pub2"},{"key":"bibr21-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0b013e328352c465"},{"key":"bibr22-0333102418783294","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awu349"},{"key":"bibr23-0333102418783294","unstructured":"Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition.\n                      Cephalalgia\n                      2004; 24: S9\u2013S160."},{"key":"bibr24-0333102418783294","doi-asserted-by":"crossref","unstructured":"Headache Classification Committee of the International Headache Society. 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