Exposição do cavo de Meckel por via extradural no tratamento da neuralcia essencial do trigêmeo

Tenuto, Rolando A.

doi:10.1590/S0004-282X1953000300006

Resumo

Report of a new technique for the treatment of major trigeminal neuralgia, consisting of exposure (with no opening) of the cavum Meckelli following an extradural approach. Four patients were operated on, with the same encouraging results obtained by others (Taarnhöj, Love, Norlen) employing different procedures. Although the author does not intend to give any explanation on pathogenesis of trigeminalgia he feels that the compression of the trigeminal roots inside the cavum Meckelli invoked by Taarnhõj as the mechanism of trigeminal neuralgia has lost its support.

NOTAS PRELIMINARES

Rolando A. Tenuto

Chefe da Disciplina Neurocirúrgica do Departamento de Cirurgia do Hospital das Clínicas (Serviço dos Profs. Benedito Montenegro e Alípio Correia Neto). Chefe da Secção de Neurocirurgia da Enfermaria de Neurologia do Hospital das Clínicas (Serviço do Prof. A. Tolosa) da Fac. Med. da Univ. de São Paulo

SUMMARY

Report of a new technique for the treatment of major trigeminal neuralgia, consisting of exposure (with no opening) of the cavum Meckelli following an extradural approach. Four patients were operated on, with the same encouraging results obtained by others (Taarnhöj, Love, Norlen) employing different procedures. Although the author does not intend to give any explanation on pathogenesis of trigeminalgia he feels that the compression of the trigeminal roots inside the cavum Meckelli invoked by Taarnhõj as the mechanism of trigeminal neuralgia has lost its support.

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BIBLIOGRAFIA

3. Norleii, G. - Cit. por Love ².

Nota prévia apresentada no Departamento de Neuro-Psiquiatria da Associação Paulista de Medicina em 5 junho 1953.

Clínica Neurolóqica - Hospital das Clínicas - São Paulo.

1. Taarnhöj, P. - Decompression of the trigeminal root and the posterior part of the ganglion as treatment in trigeminal neuralgia. Preliminary communication. J. Neurosurg., 9:288-290 (maio) 1952.
2. Love, G. J. - Decompression of the gasserian ganglion and its posterior root: a new treatment for trigeminal neuralgia (preliminary report). Proc. Staff Meet, Mayo Clin., 27:257-258 (julho) 1952.