Long-standing trigeminal neuralgia

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Reference no: EM133912776

Question

A 42-year-old female patient was admitted to the hospital for surgery to correct her long-standing trigeminal neuralgia. She also had essential hypertension treated with atenolol medication. The patient has suffered from unremitting facial pain for the past eight months and has failed to respond to medical therapy. The patient was given the option of continued medical management with the drug carbamazepine, gamma knife radiosurgery. or open microvascular decompression to release the trigeminal nerve. She selected the open surgery to release the nerve. She was taken to surgery, and a right side sub occipital craniotomy was performed. Microvascular decompressive release of the trigeminal nerve was performed after clearly visualizing the trigeminal nerve. The patient transferred to the intensive care unit for overnight monitoring. In the ICU, she had serial neurologic monitoring, blood pressure control to minimize hypertensive-related bleeding, aggressive pulmonary toilet as well as stress gastritis prevention and mechanical DVT prophylaxis treatment. No complications were experienced. The patient was transferred to a surgical unit and was discharged in two days to be followed at home by intermittent nursing home health services.

Principal Procedure___________

Secondary Procedure(s)_________

Reference no: EM133912776

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