Elena Ghentilis Fitri Amelia, Agus Turchan, Nancy Margarita Rehatta, Hanik Badriyah Hidayati
  MNJ, pp. 17-19  


Background: Trigeminal Neuralgia is a common condition of facial pain and its significantly affect patients’ daily life. Microvascular decompression is one of the interventional pain management for trigeminal neuralgia. There is still a little data obtained on evaluation of facial pain after microvascular decompression in Indonesia.   

Objective: This research aimed to evaluate facial pain after microvascular decompression of  trigeminal neuralgia patients in Dr. Soetomo General Hospital, PHC Hospital, and Bangil General Hospital, Indonesia.

Methods: The research design was a pretest-posttest with total sampling. Data were obtained from medical records from January 2018 until June 2019. Researches used Numeric Rating Scale (NRS) as pain measurement. The data obtained were analyzed by descriptive statistical test, normality test, and paired t-test.

Results: Trigeminal Neuralgia patients that has been treated with microvascular decompression have an average facial reduction from 7.33±2.29 to 1.89±3.41 with p = 0.001. This result showed that the microvascular decompression has significantly reduce facial pain in patients with trigeminal neuralgia.

Conclusion: Microvascular decompression significantly reduce the facial pain of trigeminal neuralgia patients.


Numeric rating scale, trigeminal neuralgia, microvascular decompression

Full Text:



Cheng J, Long J, Hui X, Lei D, Zhang H. Effects of microvascular decompression on depression and anxiety in trigeminal neuralgia: A prospective cohort study focused on risk factors and prognosis. Clin Neurol Neurosurg. 2017.

DOI: 10.1016/j.clineuro.2017.08.011

Hannan C, Shoakazemi A, Quigley G. Microvascular decompression for trigeminal neuralgia: A regional unit’s experience. Ulster Med J; 2018.

De Toledo IP, Conti Réus J, Fernandes M, et al. Prevalence of trigeminal neuralgia: A systematic review. J Am Dent Assoc. 2016.

DOI :10.1016/j.adaj.2016.02.014

Smith JG, Elias L-A, Yilmaz Z, et al. The psychosocial and affective burden of posttraumatic stress neuropathy following injuries to the trigeminal nerve. J Orofac Pain; 2013.

DOI: 10.11607/jop.1056

Zakrzewska JM, Wu J, Mon-Williams M, Phillips N, Pavitt SH. Evaluating the impact of trigeminal neuralgia. Pain; 2017.

DOI: 10.1097/j.pain.0000000000000853

Bendtsen L, Zakrzewska JM, Abbott J, et al. EAN guideline on trigeminal neuralgia. Eur J Neurol; 2019. DOI :10.1111/ene.13950

Bick SKB, Eskandar EN. Surgical treatment of trigeminal neuralgia. Neurosurg Clin N Am; 2017. DOI:10.1016/

Yuvaraj V, Krishnan B, Therese BA, Balaji TS. Efficacy of neurectomy of peripheral branches of the trigeminal nerve in trigeminal neuralgia: A critical review of the literature. J Maxillofac Oral Surg; 2019. DOI :10.1007/s12663-018-1108-1

Kaufmann AM, Price A V. A history of the Jannetta procedure. J Neurosurg; 2019.

DOI :10.3171/2018.10.jns181983

Cruccu G, Finnerup NB, Jensen TS, et al. Trigeminal neuralgia: New classification and diagnostic grading for practice and research. Neurology; 2016.

DOI: 10.1212/WNL.0000000000002840

Jiao Y, Yan Z, Che S, et al. Improved Microvascular Decompression in Treating Trigeminal Neuralgia: Application of Nest-Shaped Teflon Fibers. World Neurosurg; 2018. DOI: 10.1016/j.wneu.2017.09.138

Wang DD, Raygor KP, Cage TA, et al. Prospective comparison of long-term pain relief rates after frst-time microvascular decompression and stereotactic radiosurgery for trigeminal neuralgia. J Neurosurg; 2018. DOI: 10.3171/2016.9.JNS16149

Jafree DJ, Zakrzewska JM. Long-term pain relief at five years after medical, repeat surgical procedures or no management for recurrence of trigeminal neuralgia after microvascular decompression: Analysis of a historical cohort. Br J Neurosurg; 2019.

DOI: 10.1080/02688697.2018.1538484

Gajski D, Dennis AR, Arnautovic KI. Microsurgical decompression of trigeminal neuralgia caused by simultaneous double arterial (SCA and AICA) and petrosal vein complex compression. J Neurol Surgery, Part B Skull Base; 2018. DOI: 10.1055/s-0038-1669968

Montano N, Conforti G, Di Bonaventura R, Meglio M, Fernandez E, Papacci F. Advances in diagnosis and treatment of trigeminal neuralgia. Ther Clin Risk Manag; 2015. DOI: 10.2147/TCRM.S37592

Tomasello F, Esposito F, Abbritti R V., et al. Microvascular decompression for trigeminal neuralgia: Technical refinement for complication avoidance. World Neurosurg; 2016.

DOI: 10.1016/j.wneu.2016.06.097

Bendtsen L, Zakrzewska JM, Abbott J, et al. European academy of neurology guideline on trigeminal neuralgia. Eur J Neurol; 2019.

DOI: 10.1111/ene.13950

Sandell T, Eide PK. The effect of microvascular decompression in patients with multiple sclerosis and trigeminal neuralgia. Neurosurgery; 2010.

DOI: 10.1227/01.NEU.0000375491.81803.5D


  • There are currently no refbacks.