{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:36:01Z","timestamp":1784097361775,"version":"3.55.0"},"reference-count":6,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,1]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Clinical records and patient interviews in 37 cases of trigeminal neuralgia treated by microvascular decompression by a single surgeon were studied retrospectively. Outcomes were determined with an average follow-up period of 43 months. Abnormalities in the region of the trigeminal nerve were identified in each case. Patients undergoing microvascular decompression as a primary procedure were cured (total pain relief without further therapy) at a rate of 91%, versus 43% in patients treated with destructive procedures (rhizotomies) prior to microvascular decompression (p &lt; 0.005). Analysis also suggests that trigeminal neuralgia of greater than 9 years' duration was cured at a rate of only 42%, versus 88% in cases of less lengthy duration (p &lt; 0.005). Sex and age at time of surgery were not significant predictors of outcome. There were no deaths in this group of patients aged from 32 to 90 years. A horizontal surgical approach is described.<\/jats:p>","DOI":"10.3171\/jns.1984.60.1.0104","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:19:39Z","timestamp":1241799579000},"page":"104-107","source":"Crossref","is-referenced-by-count":70,"title":["Success of microvascular decompression with and without prior surgical therapy for trigeminal neuralgia"],"prefix":"10.3171","volume":"60","author":[{"given":"David","family":"Barba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John F.","family":"Alksne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1227\/00006123-197707000-00004","article-title":"A comparison of percutaneous radiofrequency trigeminal neurolysis and microvascular decompression of the trigeminal nerve for the treatment of tic douloureux.","volume":"1","author":"Apfelbaum","year":"1977"},{"key":"b2","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1227\/00006123-198108000-00001","article-title":"Comparison of percutaneous radiofrequency gangliolysis and microvascular decompression for the surgical management of tic douloureux.","volume":"9","author":"Burchiel","year":"1981"},{"key":"b3","series-title":"Analysis of Binary Data.","author":"Cox","year":"1970"},{"key":"b4","series-title":"Am J Surg","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1016\/S0002-9610(34)90403-7","article-title":"Concerning the cause of trigeminal neuralgia.","volume":"24","author":"Dandy","year":"1934"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"159","DOI":"10.3171\/jns.1967.26.1part2.0159","article-title":"Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia.","volume":"26","author":"Jannetta","year":"1967"},{"key":"b6","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1227\/00006123-197901000-00019","article-title":"Treatment of trigeminal neuralgia.","volume":"4","author":"Jannetta","year":"1979"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/60\/1\/article-p104.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/60\/1\/article-p104.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/60\/1\/article-p104.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T19:59:30Z","timestamp":1658692770000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/60\/1\/article-p104.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,1]]},"references-count":6,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/jns.1984.60.1.0104","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1984,1]]}}}