{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T16:15:37Z","timestamp":1771258537560,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"content-version":"vor","delay-in-days":441,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>\n          Background: Surgical intervention for trigeminal neuralgia (TN) is indicated if there is a failure of the medical treatment. Peripheral neurectomy is one of the oldest surgical procedures for TN. Objective: The aim is to evaluate the clinical outcome and the recurrence rate following peripheral neurectomy for the management of TN. Patients and Methods: This was a retrospective cohort study of 17 patients with classical TN treated by peripheral neurectomy. The visual analogue scale (VAS) was used for pain assessment preoperatively and during the follow-up period. The outcome of surgery was graded as a marked, moderate, or mild improvement. Kaplan\u2013Meier analysis was used for the time to recurrence to predict the probability of recurrence at any given time following the procedure. Results: The mean pain-free interval was 29.3 \u00b1 16.3 months. At 2 and 5 years of the follow-up period, the mean VAS improved significantly (P &lt; 0.001 and P = 0.042 respectively). Thirteen patients had marked improvement of pain. There was recurrence of pain in 4 patients (23.5%). By Kaplan\u2013Meier analysis, the survival rate without recurrence at 2, 3, 4, and 5 years following the procedure were 92.9%, 79.6%, 59.7%, and 29.8%, respectively. The mean preoperative Hospital Anxiety and Depression Scale-Anxiety and Depression scores significantly improved on the last follow-up visit following the procedure (P &lt; 0.001 for both). Conclusion: Peripheral neurectomy provides short to medium-term good pain control for patients with TN. The preoperative severity of pain, anxiety, and depression levels improved markedly after the procedure.<\/jats:p>","DOI":"10.4103\/ajns.ajns_361_20","type":"journal-article","created":{"date-parts":[[2021,7,25]],"date-time":"2021-07-25T14:05:46Z","timestamp":1627221946000},"page":"281-287","source":"Crossref","is-referenced-by-count":3,"title":["Peripheral neurectomy for trigeminal neuralgia: A report of seventeen cases and review of the literature"],"prefix":"10.1055","volume":"16","author":[{"given":"Mohamed","family":"Nagy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bokhary","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Armed Forces Hospital Southern Region, Khamis Mushait"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,8,16]]},"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajns.AJNS_361_20.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T22:50:19Z","timestamp":1660690219000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajns.AJNS_361_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,8,16]]},"published-print":{"date-parts":[[2021,6]]}},"URL":"https:\/\/doi.org\/10.4103\/ajns.ajns_361_20","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}