{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:23:28Z","timestamp":1794324208557,"version":"4.9.0"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Object<\/jats:title>\n                    <jats:p>Microvascular decompression (MVD) is considered the method of choice to treat idiopathic trigeminal neuralgia (TN) refractory to medical treatment. However, repeat MVD for recurrent TN is not well established. In this paper, the authors describe a large case series in which patients underwent repeat MVD for recurrent TN, focusing on outcome, risk factors, and complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 1990 and 2012, a total of 33 consecutive patients underwent repeat MVD for recurrent TN at the University Medical Center Groningen. The authors performed a retrospective chart review and telephone interviews. Risk factors were analyzed by binary logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After 12 months of follow-up, 22 (67%) operations were successful, of which 19 patients were completely free of pain without medication. With multivariate analysis significant risk factors for success were older age (OR 1.11, p &lt; 0.01) and direct absence of pain after repeat MVD (OR 25.2, p &lt; 0.01). Previous neurodestructive procedures did not influence success rates. Facial numbness occurred in 9 patients (27%), while other morbidity was minimal. There was no mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates that repeat MVD is a feasible therapeutic option with good chances of success, even in patients who have undergone neurodestructive procedures. Complication rates, particularly facial numbness, can be avoided if only a limited neurolysis is performed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2014.7.jns132667","type":"journal-article","created":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T10:21:59Z","timestamp":1406888519000},"page":"936-939","source":"Crossref","is-referenced-by-count":41,"title":["Repeat microvascular decompression for recurrent idiopathic trigeminal neuralgia"],"prefix":"10.3171","volume":"121","author":[{"given":"Nicolaas A.","family":"Bakker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Marc C.","family":"Van Dijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Immenga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiel","family":"Wagemakers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan D. M.","family":"Metzemaekers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns132667","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"916","DOI":"10.3171\/JNS\/2008\/108\/5\/0916","article-title":"Repeat posterior fossa exploration for patients with persistent or recurrent idiopathic trigeminal neuralgia","volume":"108","author":"Amador","year":"2008"},{"key":"b2-jns132667","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1056\/NEJM199604253341701","article-title":"The long-term outcome of microvascular decompression for trigeminal neuralgia","volume":"334","author":"Barker","year":"1996"},{"key":"b3-jns132667","series-title":"Neurosurgery","article-title":"A review of percutaneous treatments for trigeminal neuralgia","author":"Cheng","year":"2013"},{"key":"b4-jns132667","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1227\/00006123-199410000-00012","article-title":"Repeat operations in failed microvascular decompression for trigeminal neuralgia","volume":"35","author":"Cho","year":"1994"},{"issue":"Suppl","key":"b5-jns132667","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"172","DOI":"10.3171\/2010.8.GKS10915","article-title":"Gamma Knife surgery for recurrent or residual trigeminal neuralgia after a failed initial procedure. Clinical article","volume":"113","author":"Huang","year":"2010"},{"key":"b6-jns132667","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1637","DOI":"10.1227\/NEU.0b013e3181fa098a","article-title":"Outcome predictors after gamma knife radiosurgery for recurrent trigeminal neuralgia","volume":"67","author":"Kano","year":"2010"},{"key":"b7-jns132667","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1097\/00006123-200103000-00013","article-title":"Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients","volume":"48","author":"Kanpolat","year":"2001"},{"key":"b8-jns132667","series-title":"Int J Radiat Oncol Biol Phys","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1016\/j.ijrobp.2008.08.048","article-title":"Salvage gamma knife stereotactic radiosurgery for surgically refractory trigeminal neuralgia","volume":"74","author":"Little","year":"2009"},{"key":"b9-jns132667","series-title":"Stereotact Funct Neurosurg","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1159\/000138770","article-title":"Percutaneous balloon compression for the treatment of recurrent trigeminal neuralgia: long-term outcome in 29 patients","volume":"86","author":"Omeis","year":"2008"},{"key":"b10-jns132667","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1144","DOI":"10.3171\/JNS-07\/12\/1144","article-title":"Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression","volume":"107","author":"Sindou","year":"2007"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/121\/4\/article-p936.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/121\/4\/article-p936.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/121\/4\/article-p936.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T22:21:26Z","timestamp":1658701286000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/121\/4\/article-p936.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2014,10]]},"references-count":10,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2014.7.jns132667","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10]]}}}