+ Translate
+ Most Popular
Gaucher's disease;thirty-two years experience at Siriraj Hospital
A study of Macrobathra Meyrick from China (Lepidoptera, Cosmopterigidae)
First occurrence in ores of tetragonal chalcocite
Effects of trace element nutrition on sleep patterns in adult women
N.Z. range management guidelines. 2. Design of grazing management systems for tussock country
A case of lipoma of the esophagus
A revision of world Acanthosomatidae (Heteroptera: Pentatomidae): keys to and descriptions of subfamilies, tribes and genera, with designation of types
Life history of the coronate scyphozoan Linuche unguiculata (Swartz, 1788)
Perceptual restoration of obliterated sounds
Mutagenicity studies on two chromium(III) coordination compounds
The formation of the skeleton. I. Growth of a long bone. 1st appearance of a center of calcification
Leucopenia and abnormal liver function in travellers on malaria chemoprophylaxis
The joint commission: four key root causes loom large in sentinel event data
Treatment of vitiligo with topical 15% lactic acid solution in combination with ultra violet-A
Behaviour of dairy cows within three hours after feed supply: I. Influence of housing type and time elapsing after feed supply
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Management and control of patients with type 2 diabetes mellitus in Lebanon: results from the International Diabetes Management Practices Study (IDMPS)
The diet composition and nutritional knowledge of patients with anorexia nervosa
Physoporella croatica Herak, 1958 of the Slovak karst Anisian (Slovakia, the West Carpathians Mts.)
Bright lights, big noise. How effective are vehicle warning systems?
Ein Plesiosaurier-Rest mit Magensteinen aus mittlerem Lias von Quedlinburg
Incidence of Chlamydia trachomatis in patients with sterility
Monster soup: the microscope and Victorian fantasy
Preliminary tests with residual sprays against poultry lice
Duration of the life of plants in phylogeny

Quantitative determination of corneal sensitivity in idiopathic trigeminal neuralgia and after neurosurgical interventions on the trigeminal nerve

Quantitative determination of corneal sensitivity in idiopathic trigeminal neuralgia and after neurosurgical interventions on the trigeminal nerve

Klinische Monatsblatter für Augenheilkunde 199(2): 84-90

ISSN/ISBN: 0023-2165

PMID: 1960938

DOI: 10.1055/s-2008-1046053

The purpose of our study was to determine, by use of the electronic Draeger esthesiometer in quantitative, reproductive measurements, the corneal sensitivity in 55 patients with medically treated idiopathic trigeminal neuralgia before and after surgical treatment of the trigeminal nerve and root. 37 patients were included in a prospective study with measurements before and after glycerol rhizotomy, radiofrequency rhizotomy and microvascular decompression (MVD) of the trigeminal root. Moreover, 18 patients were examined retrospectively 7 to 17 years after retrogasserian rhizotomy according to Spiller/Frazier. Corneal sensitivity was determined by the mean value of 3 measurements in each of 5 positions on both eyes. Evaluation of data leads to the following conclusions: In case of neuralgia in the V1 and V2 divisions, corneal sensitivity may decrease without any clinical manifestation. The hypothesis that V2 contributes to corneal innervation got further evidence. Microvascular decompression may lead to a severe decrease of corneal sensitivity. In terms of complications concerning sensory loss of cornea, radiofrequency rhizotomy was the less risky treatment, followed by glycerol rhizotomy, MVD and the retrogasserian rhizotomy according to Spiller/Frazier. Sensitivity affected by prior medical or surgical treatment does not necessarily decrease by further surgical therapy. Postoperatively up to six weeks, corneal sensitivity remained almost the same as shortly after surgical procedure. Keratitis was observed in only one case retrospectively.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 068553714

Download citation: RISBibTeXText

Related references

Quantitative measurements of corneal sensitivity in idiopathic trigeminal neuralgia as well as after surgical treatment of the trigeminal nerve. Klinische Monatsblaetter fuer Augenheilkunde 199(2): 84-90, 1991

Patients with idiopathic trigeminal neuralgia have a sharper-than-normal trigeminal-pontine angle and trigeminal nerve atrophy. Acta Neurochirurgica 154(9): 1627-1633, 2012

Trigeminal neuralgia tic douloureux idiopathic trigeminal neuralgia cryptogenic trigeminal neuralgia major trigeminal neuralgia tri facial neuralgia. Conn, Howard F (Ed ) Current Therapy (Philadelphia), Vol 29 Xli+986p Illus W B Saunders Co: Philadelphia, Pa , Usa; London, England ISBN 0-7216-2662-9: 754-756, 1977

Abnormal trigeminal nerve microstructure and brain white matter in idiopathic trigeminal neuralgia. Pain 155(1): 37-44, 2014

Neurovascular relationships in the posterior cranial fossa, with special reference to trigeminal neuralgia. 2. Neurovascular compression of the trigeminal nerve in cadaveric controls and patients with trigeminal neuralgia: quantification and influence of method. Clinical Anatomy 10(6): 380-388, 1997

Radiographic position of the trigeminal nerve in the skull for angiographic determination of arterial-nerve relationship in trigeminal neuralgia: results of a radiologic-anatomic study. Surgical and radiologic anatomy: SRA 9(3): 193-200, 1987

Persistent trigeminal artery supply to an intrinsic trigeminal nerve arteriovenous malformation: a rare cause of trigeminal neuralgia. Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia 22(2): 409-412, 2015

Microstructural abnormalities of the trigeminal nerve correlate with pain severity and concomitant emotional dysfunctions in idiopathic trigeminal neuralgia: A randomized, prospective, double-blind study. Magnetic Resonance Imaging 34(5): 609-616, 2016

Gamma knife radiosurgery for trigeminal neuralgia: results and potentially predictive parameters--part I: Idiopathic trigeminal neuralgia. Neurosurgery 61(6): 1254-60; Discussion 1260-1, 2007

Peripheral nerve field stimulation for trigeminal neuralgia, trigeminal neuropathic pain, and persistent idiopathic facial pain. Cephalalgia: An International Journal of Headache 36(5): 445-453, 2016

Electrodiagnostic study of trigeminal nerve. Orbicularis oculi reflex and masseter reflex in trigeminal neuralgia, paratrigeminal syndrome, and other lesions of the trigeminal nerve. Neurology 20(6): 574-583, 1970

Neurosurgical interventions for the treatment of classical trigeminal neuralgia. Cochrane Database of Systematic Reviews 2011(9): Cd007312, 2011

Percutaneous Microcompression of the Trigeminal Ganglion for Elderly Patients with Trigeminal Neuralgia and Putients with Atypical Trigeminal Neuralgia. Neurologia Medico-Chirurgica 40(7): 347-351, 2000

Clinical features and long-term surgical outcomes in 39 patients withtumor-related trigeminal neuralgia compared with 360 patients with idiopathic trigeminal neuralgia. British Journal of Neurosurgery 31(1): 101-106, 2017

Trigeminal neuralgia - trigeminal neuritis; therapy of trigeminal neuritis with hydrogen peroxide injections at the nerve exits. Hno 6(3): 73-75, 1957