From: Long term evaluation of a multidisciplinary trigeminal neuralgia service
Surgical procedure | Number of Complications (%) | Type of deficit |
---|---|---|
1stMVD | 41/93 (44%) | |
Grade 1a (no treatment and no drugs) | 23t 5p | 11t numbness: |
8 mild, 1 moderate, 1 severe, | ||
1 hemi numbness (lat. Pontine stroke) | ||
4 p numbness: mild | ||
4 t hearing: 3 not directly related to surgery | ||
1 p hearing: haematoma | ||
2 t blurry vision/diplopia: 1 no ocular pathology, 1 SCA injury | ||
3 t headache/incision tenderness | ||
3 t miscellaneous: | ||
1t back pain after lumbar drain: CSF leak repair | ||
1t speech/ facial weakness: physio /speech therapy | ||
1 fall without trauma | ||
Grade 1b (treatment with drugs) | 7 | 5 pulmonary/UTI infections: antibiotics |
1 wound infection: antibiotics | ||
1 aseptic meningitis/leptomeningitis: steroids | ||
Grade 2a Invasive treatment without GA (Includes local anaesthesia and ± sedation) | 12 | 10 CSF leaks: lumbar drain only 1 Swallowing difficulty: NG tube |
1 bladder catheterisation | ||
Grade 2b invasive under GA | 7 | 2 CSF leaks: mastoid repack |
4 CSF& wound infections: wound revision & lumbar drain | ||
1 wound infection: cleaned out mastoid area under GA | ||
1st RFT | 16/17 (94%) | |
Grade 1a (no drugs) | 9t 10p | 6 t numbness: mild |
8 p numbness: 4 mild, 4 moderate | ||
1 p reduced sensation | ||
1t dry eye, earache, pulling sensation in a jaw (in addition to hemi facial numbness) | ||
1t difficulty opening closing mouth (Osteoarthritis, muscular pain) | ||
1 t headache | ||
1 p hearing (not related) | ||
1st Glycerol | 13/28 (46%) | |
Grade 1a (no drugs) | 5t 8p | 3 t numbness: mild |
6 p numbness: 2 mild, 3 moderate,1 severe | ||
1 t swelling (around injection area) | ||
1 t dry mouth, hyperesthesia | ||
2 p anaesthesia cornea | ||
1st SRS | 3/15 (20%) | |
Grade 1a (no drugs) | 2p 1t | 2 p numbness: 1 mild, 1 moderate |
1 t severe pain |