wcalvin at u.washington.edu
Mon Oct 17 11:11:37 EST 1994
FDAKER at VM.TEMPLE.EDU writes:
>more aggressive invasive surgery. Your mother being 50 may be suitable for
>the latter surgery. This is known as microvascular decompression surgery in
>which the skull is opened to approach the trigeminal nerve in order to
>relieve pressure being placed by an artery (or vein). There is reportedly
>an 80-90% success rate in relieving tn pain initially but there is some debate
>as to the long term relief although generally it is quite good. A main center
>in the US is Presbyterian Hosp., Univ of Pittsburgh Sch of Medicine. Dr.
>Peter Janetta has perfected this procedure and is a specialists in tn. I assum
>e your mother has had a battery of tests to rule out the chance of a tumor,
>aneurysm, or multiple sclerosis since these are potential cause of tn. If not,
>she should. Best of luck to your mother.
>David Aker, Ph.D.
>Temple Unvi. Sch of Medicine
>Dept of Anat and Cell Biology fdaker at vm.temple.edu
That's a good summary. There is an interesting book for general readers
called WORKING IN A VERY SMALL PLACE that is about the trigeminal
neuralgia surgery and Peter jannetta. Mark Shelton is the author and it
came out about 1987.
William H. Calvin WCalvin at U.Washington.edu
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